Case Manager – Life & Disability Services

Job not on LinkedIn

🔥 1 minute ago

🇨🇦 Canada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

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Logo of Alberta Blue Cross

Alberta Blue Cross

1001 - 5000 employees

Founded 1940

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Alberta Blue Cross is a non-profit organization dedicated to providing comprehensive health benefits and wellness programs to the residents of Alberta. As a leader in preventative health care, Alberta Blue Cross serves over 1. 8 million people through group, government, and individual plans. The company is committed to promoting wellness, offering modern work environments, and supporting community health initiatives. It aims to empower Albertans to live healthy and fulfilling lives by addressing physical, mental, social, and financial well-being.

📋 Description

• Adjudicate Short-Term Disability and Long-Term Disability claims • Apply rules and regulations outlined in the Group Policy and CLHIA guidelines • Plan, implement and evaluate case management principles • Issue correct benefit payments • Communicate professionally and accurately with stakeholders • Manage assigned portfolio and become subject matter expert on assigned groups • Develop and monitor treatment plans • Plan return-to-work and rehabilitation programs • Build relationships with involved parties • Provide expert advice to internal and external customers • Communicate with Medical Underwriting, Group Underwriting, Sales, Group Administration and Accounting regarding claims activities, eligibility and financial transactions

🎯 Requirements

• Experience related to disability claims management • Degree or diploma in a health-related field such as Nursing, Kinesiology, Rehabilitation Medicine or Social Work is an asset • Mental Health claims management experience is considered an asset • Knowledge of the insurance benefit industry is considered an asset • Strong analytical, detail orientation and organizational skills • Demonstrated excellence in decision-making, especially under pressure • Strong team-player skills and cooperative attitude • Excellent written and verbal communication skills • Proven flexibility, innovation and independence • Ability to deal effectively with external stakeholders and coworkers • Proficiency with Microsoft Word and Excel is required • Certified Disability Management Professional (CDMP) would be an asset • Enrollment in LOMA or other industry-related courses would be an asset • Satisfactory criminal record check required as a condition of employment following a conditional offer

🏖️ Benefits

• Flexible work style arrangement • Career growth opportunities • Healthy work-life balance • Innovative, high-energy, team-focused environment

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