Bilingual Disability Claims Specialist

🔥 2 minutes ago

🇨🇦 Canada – Remote

💵 $69.9k - $82k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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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 needed supports, monitor treatment, and track achievement of case plans • Collaborate with claimants, employers, treatment providers, physicians, group administrators, human resources, and lawyers • Actively manage files and communicate regularly with all stakeholders • Assess the use of claims tools such as rehabilitation support and request ongoing medical information as needed • Assess key dates throughout the claim lifecycle and update case management plans • Ensure assigned caseload tasks meet service level standards • Make and communicate timely, potentially difficult decisions and manage escalations • Build relationships that support recovery and return to work • Use the electronic case management system effectively and consistently • Support members through illness, recovery, and return to work

🎯 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 • Relevant work experience in disability claims management or insurance benefits case management, including assessing eligibility and managing an active caseload • Experience making and communicating complex case decisions, managing competing priorities independently, and guiding clients through difficult situations • Experience reviewing contracts, medical documentation and reports to assess claims, support decisions and develop case management plans is an 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 in English and French is required • Exceptional written and oral communication skills • Well-developed organizational and prioritization skills • Positive attitude, drive to succeed, and commitment to quality service • Innovative mindset and ability to influence change with focus on client needs • Experience providing customer care, support, and assistance while communicating complex information clearly • Strong initiative, leadership, and strategic thinking • Excellent problem-solving ability and capacity 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 • Paid vacation and additional Vacation Purchase Program • Wellness benefits, health resources and fitness center discounts • 15-week paid virtual training program • Career path and career growth opportunities

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