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30 May 2023

Full-Time Senior Disability Case Manager – Bilingual (hybrid or flexible)

Wawanesa Life – Posted by audreyfernandez@wawanesa.com Canada

Job Description

Working under minimal supervision, this role supports Wawanesa’s success through the ongoing case management of complex Short-Term Disability, Long-Term Disability, and/or Disability Income claims for Group & Individual business.  This role is responsible for escalated claims, complaints, litigation, and other complex claims issues. This role requires the regular assessment and management of disability benefit claims for French-speaking plan members across Canada. This requires completing telephone interviews in French and the review and interpretation of medical documents written in French. As such, the successful candidate must be fully proficient in French and English in order to support all clients.

Job Responsibilities

  • Review, assess and render decisions on disability and other claims through the development of claims management strategies to bring claims to succession resolutions.
  • Conduct complex investigations as required on existing case files.
  • Collaborate with clients and claimants, reinsurers, medical practitioners and providers to obtain claims documentation, provide updates as to claims status and respond to inquiries.
  • Review complex and differing policy wordings to ensure decisions are made within the policy’s scope.
  • Communicate decisions verbally and in writing in an effective and courteous manner.
  • Address claims escalations, complaints, and/or claims litigation to a successful resolution.
  • Coordinate rehabilitation and other services to assist with successful return to work, including complex programs with multiple providers.
  • Maintain records of individual workload and claims adjudication.
  • Respond to claimant or other inquiries within company service standards.
  • Will perform other duties as assigned.

 

Qualifications

  • Post-secondary degree/diploma in a medical or related field, or an equivalent combination of education and experience is required.
  • Minimum five (5) years’ case management or related experience is an asset.
  • Good communication skills in French and English, both written and spoken.
  • Actively working towards or completion of Case Management or NIDMAR courses is considered an asset.
  • Excellent computer skills and knowledge of the Microsoft Office suite is required, including the ability to perform complex calculations using Excel or otherwise.
  • Good working knowledge of SharePoint is considered an asset.
  • Excellent ability to interpret and apply contract wordings.
  • Strong time management and organizational skills with the ability to establish priorities among competing deadlines while maintaining service standards.
  • Strong attention to detail with the ability to identify relevant information and potential impacts.
  • Strong communication and negotiation skills, with the ability to communicate at the right level for the intended audience, including internal and external customers through written or verbal communication.
  • Ability to handle sensitive information while following confidentiality guidelines/legislation.

How to Apply

https://jobs.wawanesa.com/job-invite/6543/

Job Categories: Manager. Job Types: Full-Time. Salaries: 60,000 - 80,000.

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