Job Description

Disability Claims Manager

Reputable Insurer

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.

What you'll be working on

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

What you'll need to have

Bilingual (English/French) is an asset

Any amount of years experience in 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

Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology

Great if you have:

• LOMA 280, 290, HIAA, CEBS - GBA are assets.

DGA Careers has been proudly serving the Canadian insurance industry for over 30 years, specializing in providing insurance recruiting services to major insurers, insurance brokerage firms and independent adjusting firms. With offices in Toronto, Vancouver, Montreal, Edmonton, and Calgary, DGA Careers is well positioned to conduct searches with a national scope. Our unrivalled professional network across Canada provides us with the ability to reach vital key influencers and passive candidates nationally.

Interested candidates please contact Antonella Leone at 647-624-9609 or forward your resume in confidence to antonella@dgacareers.com. If you are working with another DGA recruiter, feel free to ask them about this position.