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disability management specialist
Title posted on CareerBeacon - REMOTE - Bilingual Disability Claims Specialist
Posted on November 16, 2024 by Employer details Medavie Blue Cross
Job details
Position Type:PermanentIf you're looking for a fulfilling career that can make a real difference in your life, and the lives of others, you've come to the right place.As a national health solutions partner, we put people first in everything we do - and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest - and it's reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.Our class is starting January 27th, 2025 Apply today and secure your new Career with Medavie! As a Bilingual Disability Claims Specialist, you will be working and collaborating with a team of talented professionals in a high-energy work environment to ensure service level standards are met by managing a block of short or long-term disability cases.You will support our plan members through illness, recovery and return to work by providing them with disability benefits and proactive case management.At Medavie you have the flexibility to work from wherever you're most productive and inspired - be it your home office, a few days at home or at work or full time in our offices.Key Responsibilities: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 neededProvide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularlyEnsure that required tasks within the assigned case load meet service level standardsRender timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimantsBuild 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 workEnsure effective and consistent use of our electronic case management systemQualifications:Education: Bachelor's Degree or equivalentWork Experience:Experience in a Healthcare related field would be an asset but not requiredInsurance industry knowledge is an asset, along with health-related terminology, concepts of accommodation and return to workExperience and knowledge of managing files related to mental health is an assetAn understanding of contract wording and the ability to thoroughly review medical reports and other tools available (e.g., Independent Medical Exams, Functional Capacity Exams, surveillance, medical consultant reviews) is an assetComputer Skills:Proficiency working with Microsoft Office applications (Word, Excel and Outlook)Experience working with an electronic case management system (we use Fineos) an assetLanguage: Be fluently bilingual (English-French); In order to meet the needs of the English-speaking clientele, this position requires bilingualismProfessional Experience:Exceptional written and oral co- LocationUnknown
- Workplace information On site
- SalaryNot available
- Terms of employment Permanent employmentFull time
- Starts as soon as possible
- vacancies 1 vacancy
- Source CareerBeacon #2124683
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