Disability Claims Specialist

November 27

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Medavie

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Healthcare Insurance • Community Health • Wellness

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.

5001 - 10000 employees

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Responsible for the disability claim adjudication from the initial decision to building the right case management plan including: identifying the supports needed for each case, monitoring treatment and the achievement of the plan, and working with the claimant, employer and providers involved in the case. • Active case management of files, providing regular communication with all stakeholders and assessing the use of claims tools (rehab etc.) and requesting ongoing medical as needed. • Provide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularly. • Ensure that required tasks within the assigned case load meet service level standards. • Render timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimants. • Build effective relationships with key stakeholders (the claimants, the treatment providers and physicians, the employers, group administrators, human resources, and lawyers) to support recovery and return to work. • Ensure effective and consistent use of our electronic case management system.

🎯 Requirements

• University degree or a completed college diploma related to occupational health, disability management, kinesiology, Education, Human Resources, Legal Study areas are assets, but are not limited. • Do not have Disability related work experience? That’s ok…..we are looking for candidates with a combination of education and/or experience with well-developed analytical, decision-making and problem solving skills. • For those with work experience related to disability claims management, insurance benefits, adult education, kinesiology or other health-related industries or new graduates with a Degree or Diploma in Disability Management, Kinesiology, Rehabilitation Medicine or other health-sciences – we want to hear from you! • Experience in a professional setting where you have the demonstrated ability to make critical decisions, solve problems and both work as a team and autonomously to pivot quickly and help clients navigate complex situations. • Experience in assessing different information sources to inform decisions and to advise customers is a definite asset. • Proficiency working with Microsoft Office applications (Word, Excel and Outlook). • Strong technical aptitude – you can multitask and navigate between multiple software applications simultaneously while ensuring detailed online notes and tracking of information. • Bilingualism (English-French) is considered a strong asset for this position. • Exceptional written and oral communication skills. • Well-developed organizational and prioritization skills. • Positive attitude with a drive to succeed and a commitment to quality service. • Innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs. • Experience providing customer care, support, and assistance with the ability to communicate complex and difficult information clearly. • Strong initiative, leadership, and strategic thinking. • Excellent problem-solving with the 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 training program with necessary education, tools and resources required. • Career path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie.