Bilingual Disability Case Manager – 13-Month Contract

This is a fully remote position, open to applicants in Canada.

📋 Description

• Manage and adjudicate both short- and long-term disability claims.

• Determine eligibility and evaluate medical documentation to assess if Total Disability criteria are satisfied.

• Accurately calculate earnings and benefit levels.

• Conduct telephone interviews with claimants.

• Request necessary medical documentation, such as MC, MRT, IME, FCE, and Rehab documents.

• Keep precise and detailed claims documentation while ensuring the confidentiality of client, corporate, and medical records.

• Follow departmental turnaround times for claims adjudication.

• Communicate with empathy and clarity, both verbally and in writing.

• Clarify coverage details, client responsibilities, and next steps.

• Address client complaints and foster strong working relationships.

• Build relationships with unions and employers.

• Ensure compliance with privacy regulations and only release permissible information.

• Review claims comprehensively to identify feasible solutions within policy guidelines.

• Identify inefficient processes and propose practical solutions to management.

• Collaborate with team members and clients to achieve departmental turnaround standards.

• Report directly to the Manager of the Disability Department.

⛳️ Requirements

• A post-secondary diploma or degree in Health Sciences or a related field.

• Insurance or industry-related designations are considered advantageous (CEBS, LOMA, ALHC, CDMP, CRTWC).

• A minimum of 4 years of experience in the disability industry or case management.

• Capability to process and adjudicate both short- and long-term disability claims.

• Proficiency in assessing medical documentation and essential job responsibilities.

• Competence in conducting telephone interviews and requesting relevant medical documentation.

• Ability to maintain accurate and detailed claims documentation while ensuring confidentiality.

• Commitment to adhering to departmental turnaround times.

• Skill in clearly explaining coverage details, client responsibilities, and next steps.

• Aptitude for resolving client complaints and cultivating relationships with unions and employers.

• Familiarity with privacy regulations.

• Ability to conduct holistic reviews of claims and determine solutions within policy constraints.

🏝️ Benefits

• A minimum of 3 weeks of vacation.

• Flex days.

• Wellness programs.

• Employee education program.

• Flexible work options.

• Comprehensive mental health resources.

• Extensive benefits package.

• Generous paid time off.

• Social and wellness committees.

• Accommodation available during any phase of the hiring process.