Bilingual Disability Claims Specialist

🕒 September 2

🇨🇦 Canada – Remote

💵 $69.9k - $82k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 14%

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Medavie

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Community Health

Medavie is a national health solutions partner dedicated to improving the wellbeing of all Canadians. It integrates benefits management, healthcare delivery, and advanced health solutions, aiming to transform healthcare in Canada with innovative approaches. Medavie also focuses on community health through its foundation, promoting initiatives for accessible and equitable healthcare services.

📋 Description

• Adjudicate disability claims from the initial decision through development of case management plans. • Identify required supports, monitor treatment, and track achievement of case management plans. • Work with claimants, employers, and providers involved in each case. • Actively manage files and communicate regularly with all stakeholders. • Assess use of claims tools such as rehabilitation and request ongoing medical information as needed. • Assess key dates throughout the claim lifecycle and update case management plans regularly. • Ensure assigned-case tasks meet service-level standards. • Make timely and potentially difficult decisions and communicate them effectively. • Manage escalations with employers and claimants. • Build relationships with claimants, treatment providers, physicians, employers, group administrators, human resources, and lawyers. • Ensure effective and consistent use of the electronic case management system.

🎯 Requirements

• University degree or completed college diploma related to occupational health, disability management, kinesiology, Education, Human Resources, or Legal Study areas are assets but are not limited. • Combination of education and/or experience with well-developed analytical, decision-making and problem-solving skills. • Experience in a professional setting demonstrating critical decision-making, problem-solving, teamwork, autonomous work, and ability to pivot quickly. • Experience assessing different information sources to inform decisions and advise customers is a definite asset. • Proficiency with Microsoft Office applications (Word, Excel and Outlook). • Strong technical aptitude and ability to multitask across multiple software applications while maintaining detailed online notes and tracking information. • Bilingualism required to meet the needs of English-speaking clientele. • Proficient English is required. • Exceptional written and oral communication skills. • Well-developed organizational and prioritization skills. • Innovative mindset and ability to influence operational change with a primary focus on client needs. • Experience providing customer care, support, and assistance, with ability to communicate complex information clearly. • Strong initiative, leadership, and strategic thinking. • Excellent problem-solving and ability to work independently and with all levels of the organization. • Ability to maintain a high degree of accuracy in a fast-paced environment.

🏖️ Benefits

• Flexible work arrangements and emphasis on work-life balance • Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day • 100% employer-matched Defined Contribution Pension Plan • Annual Incentive Bonus which recognizes your contribution to our success • Paid vacation and additional Vacation Purchase Program • Wellness benefits, health resources and fitness center discounts • 15-week paid virtual training program • Career path encouraging professional growth and new skills • Accommodations or adjustments during recruitment