Disability Case Manager - Mississauga, Canada - Beneva

Beneva

Verified Company

Mississauga, Canada

2 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

Job Posting Title:
Disability Case Manager

Status:
Regular

Job Description:

The Disability Case Manager will adjudicate and manage Short Term and Long Term disability claims and will provide efficient and timely service to all key stakeholders.

RESPONSIBILITIES:

Provide Long Term and Short Term disability claims assessment
Identify, obtain and analyze key medical, contractual and eligibility information
Develop proactive case management plans that identify direction, issues and action plan including methodology and timing to reduce the duration of disabilities
Review group contract provisions and submitted medical information in order to identify discrepancies and inconsistencies when assessing disability benefit eligibility
Communicate and consult with internal/external providers, customers, Third Party Administrators, Employers and Plan Administrators
Participates in meetings with policyholders for a critical review of files as required
Obtain medical and functional information through interviews, standard and customized questionnaires and written correspondence directed at claimants, policyholders and physicians
Execute problem resolution: identify, investigate, resolve or develop recommendations to address and resolve issues identified by internal and external parties
Review issues in light of applicable contractual, legal, medical, procedural system and client specific requirements in order to achieve a resolution
Recommends measures destined to improve the sector's service and productivity performance
Proactively acquires and improves knowledge of tools, policies, processes, products and services
Collaborates on specific projects, and carries out any other administrative tasks upon request

QUALIFICATIONS:

University degree preferably in Health Sciences or related disability experience
Ability to plan, develop and implement goaloriented claim management plans
Sound knowledge of medical terminology, medical management and pharmacology is an asset

COMPETENCIES/EDUCATION:

Excellent written and verbal communication skills
Bilingualism in French/English is an asset
Excellent customer service
Intermediate skills with Word and Excel
Ability to multitask in a fast paced, performance driven environment
Strong planning and organizing skills, with strong attention to detail
Analytical thinker with proven problem solving skills
Ability to adapt quickly and comfortably to change
Good interpersonal skills
Professional telephone etiquette
Demonstrates a positive attitude and a desire to succeed
Strong team player
Prefer one or more industry courses completed and working towards an industry designation (e.g. ALHC, FLMI, GBA)

LI-ENG

LI-Hybrid

Beneva is an equal opportunity employer, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply._
Purpose :_
True to its purpose, Beneva places people at the heart of its actions and contributes to the wellbeing of the community. It accompanies its clients in all stages of their lives, both for their insurance and for their financial services._