Bilingual Senior Disability Case Manager

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

📋 Description

• Develop and uphold exceptional customer service standards for policyholders, agents, and marketing centers.

• Oversee ongoing claims by gathering necessary medical and financial documentation or conducting investigations as needed.

• Collaborate with specialists in pertinent fields.

• Examine claims and underwriting files for the disclosure of previous medical history, exclusions, riders, and endorsements.

• Manage policy enhancements, premium waivers, and other associated benefits.

• Assess claim benefit eligibility and convey decisions to relevant stakeholders.

• Maintain accurate documentation of claim files to record all claim-handling activities.

• Acquire necessary file information and review policy provisions to confirm eligibility.

• Accurately maintain claim records in the system to ensure precise reserve calculations.

⛳️ Requirements

• Bachelor's degree in any field or equivalent experience.

• 2–3+ years of experience in claims adjudication, preferably in disability claims.

• Strong customer service focus and effective negotiation abilities.

• Advanced skills in Microsoft Office, including Word, Excel, and PowerPoint.

• Fully bilingual in both French and English.

• Excellent interpersonal abilities.

• Strong skills in oral and written communication.

• Familiarity with government legislation and legal precedents, with knowledge of the Insurance Act and/or Civil Code of Québec considered an asset.

• Robust understanding of medical conditions and terminology.

• Experience with interpreting and applying financial documentation and equitable claims practices.

• Good comprehension of underwriting processes.

• Strong analytical capabilities to assess conflicting information, evaluate risk, and make prompt decisions.

🏝️ Benefits

• Incentive programs and compensation linked to both business and individual performance.

• Health insurance coverage.

• Dental insurance.

• Mental health benefits.

• Vision insurance.

• Coverage for short- and long-term disability insurance.

• Life and AD&D insurance coverage.

• Benefits for adoption/surrogacy.

• Wellness programs.

• Employee and family assistance plans.

• Retirement savings options.

• Pension plan.

• Global share ownership plan with employer matching contributions.

• Financial education and counseling services.

• Paid holidays.

• Vacation days.

• Personal days.

• Sick leave.

• Statutory leaves of absence.

• Flexible working environment.

• Support for learning and career advancement.

• Well-being and inclusion initiatives.