Bilingual Disability Claims Specialist

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

📋 Description

• Evaluate disability claims from the initial decision through the development of case management strategies.

• Determine necessary supports, oversee treatment, and monitor the progress of case plans.

• Collaborate with claimants, employers, treatment providers, physicians, group administrators, human resources, and legal representatives.

• Proactively manage files and maintain regular communication with all involved parties.

• Evaluate the utilization of claims tools such as rehabilitation support and request continuous medical information as required.

• Review key timelines throughout the claim process and update case management plans accordingly.

• Ensure that tasks associated with the assigned caseload meet established service level standards.

• Make and relay timely, potentially challenging decisions and manage escalations effectively.

• Foster relationships that facilitate recovery and return to work.

• Utilize the electronic case management system efficiently and consistently.

• Assist members during their illness, recovery, and transition back to work.

⛳️ Requirements

• A university degree or a completed college diploma in fields related to occupational health, disability management, kinesiology, education, human resources, or legal studies is preferred but not limited to.

• Relevant experience in disability claims management or insurance benefits case management, including eligibility assessment and active caseload management.

• Proven experience in making and communicating complex case decisions, independently managing competing priorities, and guiding clients through challenging situations.

• Experience in reviewing contracts, medical documentation, and reports to evaluate claims, support decisions, and develop case management plans is advantageous.

• Proficient in Microsoft Office applications (Word, Excel, and Outlook).

• Strong technical aptitude with the ability to multitask across various software applications while accurately maintaining detailed online notes and tracking information.

• Bilingual proficiency in English and French is essential.

• Outstanding written and verbal communication abilities.

• Well-developed organizational and prioritization skills.

• A positive attitude, determination to succeed, and dedication to delivering quality service.

• An innovative mindset with the capability to influence change focused on client needs.

• Experience in providing customer care, support, and assistance while clearly conveying complex information.

• Strong initiative, leadership qualities, and strategic thinking skills.

• Excellent problem-solving capabilities and the ability to work independently and collaboratively across all organizational levels.

• Capacity to maintain a high level of accuracy in a fast-paced environment.

🏝️ Benefits

• Flexible work arrangements with a strong emphasis on work-life balance.

• Comprehensive health, vision, and dental plans that are fully employer-paid starting on your first day.

• 100% employer-matched Defined Contribution Pension Plan.

• Annual Incentive Bonus.

• Paid vacation along with an additional Vacation Purchase Program.

• Wellness benefits, health resources, and discounts for fitness center memberships.

• 15-week paid virtual training program.

• Opportunities for career development and career growth.