Bilingual STD Case Manager

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

📋 Description

• Oversee and manage all Short-Term Disability claims.

• Determine eligibility, calculate earnings and benefit levels, and gather necessary medical documentation within specified timelines.

• Conduct interviews with claimants and employers in both English and French.

• Process claims in chronological order in accordance with client service standards.

• Evaluate diagnoses and treatment plans utilizing available resources.

• Maintain professional communication with insurance agencies, healthcare providers, employees, management, and legal representatives.

• Disclose only permissible information to authorized recipients and provide written documentation.

• Compose and send written correspondence detailing claim activities and next steps in both English and French.

• Engage in claim conference calls with employers.

• Work alongside the early intervention team to reduce absence duration and facilitate the return of claimants to work.

• Supply documentation to insurance carriers for MTD/LTD claim processing.

• Utilize the automated claims payment system and perform manual calculations as necessary.

• Adjudicate STD claims within set timeframes and policy guidelines.

⛳️ Requirements

• Minimum of 3 years of claims experience in a group insurance setting.

• Preferred experience in Long or Short term disability insurance.

• Post-secondary degree, diploma, or equivalent experience required.

• Familiarity with medical terminology and disability contract language is a plus.

• CDMP or LOMA designation is advantageous.

• A medical background, such as Occupational Therapist, Kinesiology, Nursing, or Physiotherapy, is beneficial.

• Proficiency in both English and French is essential.

• Strong verbal and written communication skills in both English and French.

• Ability to work during core business hours.

• Capability to maintain confidentiality regarding client and corporate records, as well as medical claims information.

• Following the training period, a minimum accuracy rate of 95% is required.

🏝️ Benefits

• Minimum of 3 weeks of vacation.

• 26 long weekends annually through the Happy Friday program.

• Flexible work arrangements, including remote and hybrid options.

• Wellness support with comprehensive mental health resources.

• Clearly defined career paths.

• Personalized learning opportunities.

• Leadership dedicated to fostering employee development.

• Workplace focused on diversity, inclusion, and belonging.

• Support for accommodations during the hiring process.