Disability Case Manager - Mississauga, Canada - La Capitale Financial Security

La Capitale Financial Security
La Capitale Financial Security
Verified Company
Mississauga, Canada

3 minutes ago

Sophia Lee

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Sophia Lee

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Description
locations- Mississauga, Ontario- time type- Temps plein- posted on- Publié aujourd'hui- job requisition id- R8010 Titre d'emploi:
Disability Case Manager


Statut:
Régulier


Sommaire:


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)
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