Gestionnaire de cas

ble

Group Life & Disability Claims/Permanent/Toronto or Montreal preferred but open to rest of Canada/Remote or Hybrid/Desired start date: As soon as possible/ Status: Permanent

Do you want to make impactful decisions daily? Would you like to work with a passionate team in a challenging environment? Are you curious and you love to learn something new every day? We are looking for a Disability Case Manager to join our close knit team! Reporting to the Manager, Group Life and Disability Claims, you would be responsible for processing short and long-term disability claims in order to determine if the participant is eligible for disability benefits while relying on medical reports deemed necessary as well as related policies and procedures.

More specifically, you will:

• Assess disability claims and determine eligibility for benefits via telephone interview while into consideration medical information and contractual provisions, as well as pursuing additional information to make a sound decision;

• Conduct detailed telephone interviews to obtain the pertinent medical and non-medical information which has not already been obtained;

• Develop and execute a case management plan;

• Assess and identify the non medical factors and the functional limitations which are likely to influence the duration of disability and to facilitate the return to work in collaboration with a rehabilitation team;

• Determine the gradual return to work plan in collaboration with the attending physician, participant, and policyholder, as needed;

• Communicate with policy holders, participants, health professionals, other services providers as well as various level of government in writing, by email, telephone, and fax. The Case Manager must also manage difficult calls with dissatisfied and potentially irate callers as a result of a decision to deny benefits;

• Maintain the participant’s file in the system;

• Provide assistance with special projects.

Your career path looks like this:

• Post Secondary education (nursing and health profession or related field) and 2 to 3 years of related experience;

• Customer Service oriented;

• Well organized with strong analytical skills, excellent problem solving ability, and ability to work with minimal supervision;

• Positive attitude,  the ability to work well in a fast paced and demanding work environment;

• Ability to work with multiple deadlines;

• Adaptability and flexibility are necessary in this role;

• Knowledge of occupational health & safety and medical terminology (asset);

• Ability to work in a multifunctional team environment;

• Excellent communication skills;

• Advanced knowledge of the French and English language, as you will be expected to handle a large volume of Short and Long Term Disability cases for both French-speaking and English-speaking clients. You will assess claims for eligibility, conduct detailed telephone interviews, build and implement case management plans, identify both medical and non-medical factors influencing the duration that clients would be on disability and create a Graduated Return to Work Plan. Additionally, you will collaborate in both French and English, both orally and in writing, multiple times per day with other team members and medical providers who may only be monolingual English speakers.

You wish to grow your career in a stimulating environment where you can apply your analytical and client service skills? Apply today!