We are looking to hire a Bilingual (French/English) Disability Claim Manager to join Empire Life\xe2\x80\x99s Group Operations team. The Claim Manager applies disability management best practices to effectively manage the payment, expenses and risk associated with weekly indemnity and long-term disability claims within approved authority limits. Successful applicants will report to the Manager, Life and Disability Claim Management. What will you do?
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
Ensure proactive communication with our customers regarding claim status and developments based on department standards,
Be accountable for positive file resolution and appropriate outcomes
What is in it for you?
Competitive salary with annual pay increases
Annual bonus program, which recognizes both strong company performance and individual contributions
A comprehensive employer-funded benefits package that includes life insurance, disability, health and dental and a generous health account
Flexible work arrangements and an annual allotment of personal health days.
Four weeks annual vacation from the hire date
A defined contribution pension plan with generous employer-matching
Top-up programs for parental leave and compassionate leave
Employer-sponsored wellness and recognition programs
A cash employee referral program
Impactful work - get to work on meaningful projects that positively impact our customers, company, and society.
Deliver excellence - provide a personal, accurate, professional, and courteous service and resolution to our customers.
Diversity, equity, and inclusion - we are committed to creating a diverse, equitable, and inclusive workplace and welcome candidates who share this commitment.
What makes you a good fit?
The ability to read write and speak fluently in both French and English
3+ years of 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
Strong experience with word processing, spreadsheets, email, internet and database software
Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology an asset
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
LOMA 280, 290, HIAA, CEBS - GBA are assets
Have the ability to travel to an Empire Life location, if required
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