
501 - 1000 employees
Founded 1982
💼 Consulting
🏥 Healthcare
⚖️ Legal
Consulting • Healthcare • Legal
GroupHEALTH Benefit Solutions is a Canadian employee group benefits provider and administrator that designs and manages flexible, cost-conscious benefit plans for businesses and not-for-profits. They offer plan design, claims administration, online member and partner portals, rapid setup, and ongoing advisor support to employers of all sizes, with a focus on improving coverage while reducing costs. The company emphasizes transparent billing, cost-containment strategies, and a client-focused experience for Canadian employers.
🔥 8 minutes ago
🗣️🇫🇷 French Required
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501 - 1000 employees
Founded 1982
💼 Consulting
🏥 Healthcare
⚖️ Legal
Consulting • Healthcare • Legal
GroupHEALTH Benefit Solutions is a Canadian employee group benefits provider and administrator that designs and manages flexible, cost-conscious benefit plans for businesses and not-for-profits. They offer plan design, claims administration, online member and partner portals, rapid setup, and ongoing advisor support to employers of all sizes, with a focus on improving coverage while reducing costs. The company emphasizes transparent billing, cost-containment strategies, and a client-focused experience for Canadian employers.
• Process and adjudicate short- and long-term disability claims • Establish eligibility and review medical documentation to determine whether Total Disability is met • Calculate earnings and benefit levels • Conduct telephone interviews with claimants • Request appropriate medical documentation, including MC, MRT, IME, FCE, and rehabilitation records • Maintain accurate claims documentation and confidentiality of client, corporate, and medical records • Meet department turnaround times and standards • Explain coverage details, client responsibilities, and next steps • Resolve client complaints and build relationships with claimants, unions, employers, clients, and team members • Release only allowable information to recognized recipients • Review claims holistically to determine workable policy-compliant solutions • Identify inefficient processes and propose solutions to management • Report directly to the Manager, Disability Department
• Post-secondary diploma or degree in Health Sciences or a related discipline • Insurance/industry-related designations considered an asset (CEBS, LOMA, ALHC, CDMP, CRTWC) • 4 years of disability industry or case management related work experience • Bilingual communication skills • Ability to assess medical documentation and essential job duties • Knowledge of disability claims adjudication and case management • Ability to maintain confidentiality and comply with privacy regulations
• Minimum 3 weeks' vacation • Flex days • Wellness programs • Employee education program • Flexible work options • Comprehensive benefits • Comprehensive mental health resources • Social and wellness committees • Paid time off
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