Disability Claims Specialist

2 days ago

North York, Canada MCI Onehealth Technologies Full time

As part of the healthcare community for more than 30 years, MCI Medical Clinics, a subsidiary of MCI Onehealth, operates one of Canada's leading primary care networks, serves over 850,000 patients annually, and has over 300,000 telehealth visits last year. Additionally, the company offers an expanding suite of privately insured health services to patients and occupational health services that support a growing list of more than 400 corporate customers.

A career with MCI Medical Clinics is more than using your talent and experience to earn a living; it's about choosing a workplace where you can truly make a difference.

MCI Corporate Health Solutions division specializes in customizing occupational health services to meet your organization's unique needs and protect your human resource investment.

We have an exciting opportunity for a Disability Claims Specialist to support one of our top clients.

Your responsibilities will include but are not limited to:

- Manage and act as a liaison between Management/WSIB for all WSIB cases for any occupational Injuries/illnesses that occur on site
- Manage and act as a liaison between Management/Insurance providers for all STD & LTD cases for any non-occupational Injuries/illnesses that occur on site
- Investigate and challenge fraudulent claims
- Submit WSIB Form 7 and challenge WSIB claims when needed
- Maintain a database of all occupational and non-occupational cases
- Manage the successful Return to Work process and amend **as** needed
- Work with Managers to ensure the accommodation process is followed
- Facilitate communication with on-site Health Centre to ensure proper flow of information regarding any claims and disability related items
- Work with HR on complex cases
- Submit daily claims report
- Manage disability spreadsheet for disability case meeting
- Work with union representatives for both WSIB and Benefits to facilitate proper case management for unionized employees
- Liaise with Benefits Administrator on all claims where necessary
- Support 2nd step grievance and arbitrations as required
- You have a post-secondary education preferably related to Disability Management
- You have over 10 years of experience handling complex disability claims
- You have working knowledge of medical conditions, recovery guidelines and resulting restrictions/impact on function
- You have working knowledge of WSIB regulations
- You have working knowledge of Microsoft Office Suite
- You have excellent organizational skills with the ability to prioritize, be flexible and multi-task
- You have excellent communication skills (both verbal and written) and an analytical approach to problem solving
- You will have experience working with disability claims in a unionized environment
- You have demonstrated the ability to challenge the status quo

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