Bilingual Senior Disability Claims Consultant
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Job Description
Senior Disability Claims Consultant coaching disability case managers at Medavie, a Canadian health solutions partner. Reviewing complex claims and improving short- and long-term disability management.
Responsibilities:
- Provide quality and cost-effective coaching strategies to increase individual and organizational productivity
- Provide development opportunities that enhance knowledge, develop skills and enrich Disability claims specialists and consultants’ capability
- Coach and develop disability claim specialists and consultants
- Monitor, review, and support critical components of the case management lifecycle
- Review initial claim decisions and develop appropriate case management plans
- Support effective communication practices and key milestones such as COD and CPPD
- Identify required support and monitor treatment progress and plan outcomes
- Collaborate with members, employers, and healthcare providers
- 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
- Strong knowledge of contract wording
- Ability to thoroughly analyze disability management trend reports, medical reports, and other available tools
- Background in training or coaching is 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 communicate with claimants, providers, physicians, employers, group administrators, human resources, and lawyers
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 path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie
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