Disability Claim Manager - Jobs in Quebec City, QC

Job Description

Disability Claim ManagerWhy Youll love this RoleYou get to help others, be decisive and creatively connect people to the resources they need! You will use critical thinking, a strategic approach while demonstrating compassion and empathy.Being a Claim Manager allows you to work freely, manage your time and feel the satisfaction of checking items off your to-do list while also providing support and guidance to employers and employees navigating disability absences. Come make an impact on peoples well-being and future.Responsibilities

• Investigate, evaluate and determine eligibility for initial and ongoing payment claims based on medical information, job requirements, non-medical factors, contract terms and department/industry protocols within established service standards
• Manage active claims duration by utilizing best practices
• Interview claimants and employers through telephone interviews
• Ensure accurate and timely documentation of all communication with customers
• Formulate and implement a detailed case management plan on each file with a focus on a timely, sustainable and safe return to work; interact with and appropriately challenge treating physicians and employers; make referrals for independent medical assessments and to alternate insurance organizations (federal, provincial and private insurers)
• Collaborate with in-house return to work facilitators to design and monitor return to work programs
• Collaborate with team members to exchange ideas, gather information and offer solutions on claims
• Based on department standards, ensure proactive communication with our customers regarding claim status and developments
• Accountable for positive file resolution and appropriate outcomes

Skills / Knowledge / Education

• Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology
• 3+ years work experience in disability claim management
• Knowledge of medical terminology and Disability Management best practices/protocols
• Knowledge of relevant provincial employment legislation and legal requirements
• Knowledge of word processing, spreadsheet, email, internet and database software
• Bilingual (English/French) is an asset
• LOMA 280, 290, HIAA, CEBS - GBA are assets
• Well-developed verbal/written communication and interpersonal skills
• Well-developed customer relations skills
• Ability to work independently and as a collaborative team member
• Ability to prioritize and balance multiple tasks
• Ability to research, analyze, evaluate, negotiate, make decisions and resolve problems
• Ability to apply policy terms and adjudication guidelines

Working Conditions

• Office environment
• Prolonged periods of concentration and attention to detail
• Prolonged periods of sitting while using a computer and/or telephone
• Frequent interruptions with tight timelines
• The incumbent may be required to work extended hours and/or overtime
• Frequent contact with emotionally distraught and upset/angry people
• Interactions:
  • Empire management and employees on a local and national basis
  • Employers, employees and clients who purchase Company products
  • Third party providers including health care provider offices, medical professionals, legal firm representatives, security and surveillance companies
  • Industry associations and government agencies
  • Other insurance companies and financial institutions

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