Disability Case Manager II
2 weeks ago
Company: CLIC
Department: Group Benefits
Employment Type: Temporary Full-Time (18 months)
Work Model: Hybrid
Language: English is required, French is an asset.
Additional Information: This/these role(s) is/are currently vacant
We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That's why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities.
Our Group Benefits team is a leader in our target markets through service excellence and innovative technology and products. Influenced by our co-operative values, our team of experts work collaboratively with clients to deliver solutions that meet their business needs.
The Disability Case Manager II adjudicates and independently manages early intervention, short term and/or long-term disability claims including claims of a complex nature. This involves assessing eligibility for disability benefits, developing case management plans, initiating and implementing interventions to minimize claim durations and calculating, authorizing and issuing disability benefits. This requires communication with claimants, employers, third party treatment providers and physicians, as well as lawyers, third party administrators and brokers.
How you will create impact:- Review all documentation received including application forms, medical information, employment information and items from other insurers such as WCB and motor vehicle carriers.
- Triage claims as necessary to assess rehabilitation potential and to develop case management plans.
- Interview claimants and employers by telephone prior to making claim decisions.
- Proactively manage claims with the objective of minimizing disability periods and successfully returning claimants to work.
- Utilize the available resources to ensure appropriate diagnosis and treatment.
- Ensure compliance with recommendations and participation with rehabilitation interventions.
- Initiate assessments such as independent medical examinations, functional capacity examinations or surveillance when necessary.
- Clear and comprehensive ongoing written and verbal communication with claimants, employers, physicians, treatment providers, internal staff, brokers, third party administrators, lawyers and other parties such as WCB and CPP.
- You influence change and are committed to continuous improvement, in order to exceed client expectations.
- You leverage critical thinking skills to identify problems and proactively propose solutions.
- Your strong communication skills allow you to clearly convey messages.
- You're an effective team player who shares knowledge to support your peers.
- Post secondary degree in Kinesiology, Psychology, Disability Management or a related discipline an asset.
- Associate, Life and Health Claims (ALHC) designation an asset.
- 3-5 years related experience.
- This position primarily works with majority non-francophone groups, and teams located outside of Québec, and requires proficiency in English. The essential non-French duties are not assignable to adjacent or other team members.
- This position primarily works with majority non-francophone groups, and teams located outside of Québec, and requires proficiency in English. The essential non-French duties are not assignable to adjacent or other team members.
- Training and development opportunities to grow your career.
- Flexible work options and paid time off to support your personal and family needs.
- A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
- Paid volunteer days to give back to your community.
- In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.
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