Disability Claims Specialist, Bilingual-100% Remote

Medavie is a national health solutions partner that integrates benefits management, health management and health care delivery. Together, with our team of more than 7,700 professionals, we are committed to improving the wellbeing of Canadians.

As a not-for-profit organization, Medavie oversees Medavie Blue Cross, a premier all-in-one benefits carrier and public health program administrator, and Medavie Health Services, a national primary health care solutions organization and the largest contracted provider of emergency management services in Canada.

We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers and an Imagine Canada Caring Company.

We don’t have shareholders. Instead, we proudly invest in communities to help address some of Canada’s most pressing health care challenges.

**Job Title**:

- Disability Claims Specialist**Department**:

- Life & Disability Management**Competition**:

- 85523**Internal/External**:

- Internal/External**Employment Type**:

- Full Time, Permanent**Location**:

- 100% Remote**Salary**:

- Competitive compensation and benefits**Reports To**:

- Team Leader**The Opportunity**:
The insurance business isn’t just about claims - it’s about relationships too. No one wants to be in a situation where they are sick or injured and require time off work, but sometimes the unexpected happens. It’s in those moments that our members put their trust in us to provide the guidance they need to navigate their recovery. They aren’t just looking for someone to process their claim; they are looking for someone they can count on to get them back to the quality of life they deserve.

We’re looking for a
**Disability Claims Specialist** who is interested in helping people. Who understands that no two cases are alike, and can achieve the goal - getting the member back to work.

Working with a qualified team of high-energy people just like yourself, you would manage a block of short or long-term disability cases. You would be responsible for every part of the disability claim process, from the initial decision, to building the right case management plan, identifying the supports needed, monitoring treatment and achievement of the plan and working with the member, employer and providers involved in the case.

**What else is in it for you?**
- A stimulating and flexible working environment
- A diverse team of colleagues with multiple fields of expertise
- Health and dental Benefits Program 100% paid by the employer
- An organization where we encourage personal learning and growth
- A focus on work-life balance and well-being, including health support tools, and discounts on your fitness membership
- If getting involved in charitable causes is something you’re passionate about, we support and offer plenty of opportunities to give back
- We are a not-for-profit organization and our shareholders are the communities in which we operate. 13% of our net income goes back into our communities through the Medavie Health Foundation and our Building Healthy Communities program.

**Qualifications**:

- Post-secondary university or a college degree completed in the health sciences or a related field
- Three to five years equivalent experience in disability case management with another insurer or government agency, managing Short or Long Term Disability claims is an asset.
- Strong written and verbal communication skills to successfully partner and influence various stakeholders including the claimant, their treatment providers and physicians, the employer group administrators, human resources, and lawyers
- Excellent customer service and telephone skills and the ability to communicate complex and difficult information clearly with tact and sensitivity
- An understanding of contract wording and the ability to thoroughly review medical reports and other tools available (e.g. Independent Medical Exams, Function Capacity Exams, surveillance, medical consultant reviews) is an asset
- A general understanding of the health care and insurance fields, health related terminology, concepts of accommodation and return to work
- **Bilingual (English/French) written and spoken is an asset for this role.**

**We are an Equal Opportunity Employer.**

Medavie strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the aut