Bilingual Senior Disability Claims Consultant

🔥 12 hours ago

🇨🇦 Canada – Remote

💵 $82.6k - $91.8k / year

⏰ Full Time

🟠 Senior

💬 Bilingual

👻 Ghost score 3%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Provide quality and cost-effective coaching strategies designed to increase individual and organizational productivity • Provide development opportunities that enhance knowledge, develop skills and enrich Disability claims specialists and consultants’ capability • Monitor, review, and support critical components of the case management lifecycle • Review initial claim decisions • Develop appropriate case management plans • Support effective communication practices • Monitor key milestones, including COD and CPPD • Identify required support • Monitor treatment progress and plan outcomes • Collaborate with members, employers, and healthcare providers to ensure timely, well-informed, and effective case management practices • Coach and develop disability claim specialists and consultants • Increase and monitor quality of case management according to the active case management protocol • Build effective relationships to support employee development and engagement • Review and correct disability management files and reports • Manage action plans and decisions, or provide recommendations, on highly complex disability claims

🎯 Requirements

• University degree or college diploma in a relevant discipline • At least 5 years’ experience in disability case management with another insurer or government agency managing short- and long-term disability claims • Demonstrated written and verbal communication skills to successfully review and correct various communications, interview and decision letters to claimants, providers, physicians, employers, group administrators, human resources, and lawyers. • Demonstrated strong knowledge of contract wording • Ability to thoroughly analyze disability management trend reports, medical reports, and other available tools, including Independent Medical Exams, Functional Capacity Evaluations, surveillance, and medical consultant reviews • Background in training or coaching is considered a strong asset • Deep understanding of the health care and insurance fields • Knowledge of health-related terminology, concepts of accommodation and return to work • Bilingualism (English and French) is required • Ability to collaborate daily with teams and partners in Canada who operate in both English and French

🏖️ 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 • Career Growth: We offer a career path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie. • Accommodations or adjustments at any stage of the recruitment process