Disability Claim Manager

1 week ago

Kingston, Canada THE EMPIRE LIFE INS. CO Full time

**Disability **Claim Manager**

**Why You'll love this Role**
- You get to help others, be decisive and creatively connect people to the resources they need You will use critical thinking, a strategic approach while demonstrating compassion and empathy.
Being a Claim Manager allows you to work freely, manage your time and feel the satisfaction of checking items off your to-do list while also providing support and guidance to employers and employees navigating disability absences. Come make an impact on people's well-being and future.

**Responsibilities**- Investigate, evaluate and determine eligibility for initial and ongoing payment claims based on medical information, job requirements, non-medical factors, contract terms and department/industry protocols within established service standards-
- Manage active claims duration by utilizing best practices-
- Interview claimants and employers through telephone interviews-
- Ensure accurate and timely documentation of all communication with customers-
- Formulate and implement a detailed case management plan on each file with a focus on a timely, sustainable and safe return to work; interact with and appropriately challenge treating physicians and employers; make referrals for independent medical assessments and to alternate insurance organizations (federal, provincial and private insurers)-
- Collaborate with in-house return to work facilitators to design and monitor return to work programs-
- Collaborate with team members to exchange ideas, gather information and offer solutions on claims-
- Based on department standards, ensure proactive communication with our customers regarding claim status and developments-
- Accountable for positive file resolution and appropriate outcomes**Skills / Knowledge / Education**- Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology-
- 3+ years work experience in disability claim management-
- Knowledge of medical terminology and Disability Management best practices/protocols-
- Knowledge of relevant provincial employment legislation and legal requirements Bilingual (English/French) is an asset-
- LOMA 280, 290, HIAA, CEBS - GBA are assets-
- Well-developed verbal/written communication and interpersonal skills-
- Well-developed customer relations skills-
- Ability to work independently and as a collaborative team member-
- Ability to prioritize and balance multiple tasks-
- Ability to research, analyze, evaluate, negotiate, make decisions and resolve problems
**Working Conditions**- Office environment-
- Prolonged periods of concentration and attention to detail-
- Prolonged periods of sitting while using a computer and/or telephone-
- Frequent interruptions with tight timelines-
- The incumbent may be required to work extended hours and/or overtime-
- Frequent contact with emotionally distraught and upset/angry people-
- Interactions:Empire management and employees on a local and national basis
-Employers, employees and clients who purchase Company products
-Third party providers including health care provider offices, medical professionals, legal firm representatives, security and surveillance companies
-Industry associations and government agencies
-Other insurance companies and financial institutions

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