Senior Bilingual Individual Disability Case Manager

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

📋 Description

• Provide exceptional customer service to policyholders, agents, and marketing centers.

• Oversee ongoing claims by requesting additional medical or financial documentation and conducting necessary investigations.

• Collaborate with specialists across various fields.

• Examine claims and underwriting files to ensure accurate disclosure of past medical history, exclusions, riders, and endorsements.

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

• Make determinations regarding claim benefit eligibility and communicate these decisions to relevant stakeholders.

• Keep detailed documentation of claim files to maintain a precise record of events during the claims process.

• Gather essential file information and review policy provisions to confirm eligibility.

• Ensure accurate maintenance of claim records within the system to support correct reserve calculations.

⛳️ Requirements

• A university degree in any field or equivalent experience.

• Over 3 years of experience in claims adjudication, preferably in disability claims.

• Strong focus on customer service along with effective negotiation skills.

• Advanced skills in Microsoft Office (Word, Excel, PowerPoint).

• Fully bilingual in French and English; must communicate in both languages to assist clients from various jurisdictions outside Quebec.

• Excellent interpersonal abilities, with strong verbal and written communication skills.

• Familiarity with government legislation and legal precedents, including the Insurance Act and/or the Civil Code of Québec is a plus.

• Solid understanding of medical conditions and terminology.

• Experience in interpreting and applying financial documentation and fair claims practices.

• Good grasp of underwriting processes.

• Strong analytical skills to evaluate conflicting information from various sources, assess risk, and make prompt, effective decisions.

• Ability and eagerness to work collaboratively in a team setting.

🏝️ Benefits

• Flexible environment promoting well-being and inclusion.

• Health insurance coverage.

• Dental insurance benefits.

• Mental health support services.

• Vision insurance.

• Short- and long-term disability insurance.

• Life and AD&D insurance coverage.

• Benefits for adoption and surrogacy.

• Wellness program benefits.

• Employee and family assistance programs.

• Retirement savings plans.

• Pension plan.

• Global share ownership plan with employer matching contributions.

• Resources for financial education and counseling.

• Paid holidays.

• Vacation time.

• Personal days off.

• Sick leave.

• Statutory leaves of absence.

• Incentive programs linked to business and individual performance.

• Opportunities for professional development and growth.

• Support for career advancement.