- Investigate, evaluate and determine eligibility for initial and ongoing payment claims based on medical information, job requirements, non-medical factors, contract terms and department/industry protocols within established service standards
- Manage active claims duration by utilizing best practices
- Interview claimants and employers through telephone interviews
- Ensure accurate and timely documentation of all communication with customers
- Formulate and implement a detailed case management plan on each file with a focus on a timely, sustainable and safe return to work; interact with and appropriately challenge treating physicians and employers; make referrals for independent medical assessments and to alternate insurance organizations (federal, provincial and private insurers)
- Collaborate with in-house return-to-work facilitators to design and monitor return-to-work programs
- Collaborate with team members to exchange ideas, gather information and offer solutions on claims
- Ensure proactive communication with our customers regarding claim status and developments based on department standards
- Be accountable for positive file resolution and appropriate outcomes
- Competitive salary with annual pay increases
- Annual bonus program, which recognizes both strong company performance and individual contributions
- A comprehensive employer-funded benefits package that includes life insurance, disability, health and dental and a generous health account
- Flexible work arrangements and an annual allotment of personal health days
- Four weeks annual vacation from the hire date
- A defined contribution pension plan with generous employer-matching
- Top-up programs for parental leave and compassionate leave
- Employer-sponsored wellness and recognition programs
- A cash employee referral program
- Impactful work - get to work on meaningful projects that positively impact our customers, company, and society
- Deliver excellence - provide a personal, accurate, professional, and courteous service and resolution to our customers
- Diversity, equity, and inclusion - we are committed to creating a diverse, equitable, and inclusive workplace and welcome candidates who share this commitment
- The ability to read write and speak fluently in both French and English
- 3+ years of work experience in disability claim management
- Knowledge of medical terminology and Disability Management best practices/protocols
- Knowledge of relevant provincial employment legislation and legal requirements
- Strong experience with word processing, spreadsheets, email, internet and database software
- Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology an asset
- Well-developed verbal/written communication and interpersonal skills
- Well-developed customer relations skills
- Ability to work independently and as a collaborative team member
- Ability to prioritize and balance multiple tasks
- Ability to research, analyze, evaluate, negotiate, make decisions and resolve problems
- Ability to apply policy terms and adjudication guidelines
- LOMA 280, 290, HIAA, CEBS - GBA are assets
- Have the ability to travel to an Empire Life location, if required
- Enquêter, évaluer et déterminer l'admissibilité aux demandes de paiement initiales et continues en fonction des informations médicales, des exigences du poste, des facteurs non médicaux, des conditions du contrat et des protocoles du département/de l'industrie dans le cadre des normes de service établies
- Gérez la durée des réclamations actives en utilisant les meilleures pratiques
- Interviewer les demandeurs et les employeurs par le biais d'entretiens téléphoniques
- Assurer une documentation précise et opportune de toutes les communications avec les clients
- Formuler et mettre en œuvre un plan de gestion de cas détaillé pour chaque dossier en mettant l'accent sur un retour au travail rapide, durable et sécuritaire ; interagir avec les médecins traitants et les employeurs et les remettre en question de manière appropriée ; orienter les patients vers des évaluations médicales indépendantes et vers d'autres organismes d'assurance (assureurs fédéraux, provinciaux et privés)
- Collaborer avec les facilitateurs internes du retour au travail pour concevoir et suivre les programmes de retour au travail
- Collaborer avec les membres de l'équipe pour échanger des idées, recueillir des informations et proposer des solutions aux réclamations
- Assurer une communication proactive avec nos clients concernant l'état et l'évolution des réclamations en fonction des normes du service
- Être responsable de la résolution positive des dossiers et des résultats appropriés
- Salaire compétitif avec augmentations salariales annuelles
- Programme de bonus annuel, qui reconnaît à la fois les bonnes performances de l'entreprise et les contributions individuelles
- Un ensemble complet d'avantages sociaux financés par l'employeur qui comprend une assurance-vie, une assurance-invalidité, une assurance-maladie et dentaire et un compte santé généreux
- Des modalités de travail flexibles et un nombre annuel de jours de santé personnels
- Quatre semaines de vacances annuelles à compter de la date d'embauche
- Un régime de retraite à cotisations déterminées avec une généreuse contribution de l'employeur
- Programmes complémentaires pour le congé parental et le congé de compassion
- Programmes de bien-être et de reconnaissance parrainés par l'employeur
- Un programme de recommandation d'employés en espèces
- Un travail impactant – travaillez sur des projets significatifs qui ont un impact positif sur nos clients, notre entreprise et la société
- Offrir l'excellence – fournir un service et une résolution personnalisés, précis, professionnels et courtois à nos clients
- Diversité, équité et inclusion - nous nous engageons à créer un lieu de travail diversifié, équitable et inclusif et accueillons les candidats qui partagent cet engagement
- La capacité de lire, d'écrire et de parler couramment en français et en anglais
- 3+ années d'expérience professionnelle en gestion des demandes d'invalidité
- Connaissance de la terminologie médicale et des meilleures pratiques/protocoles de gestion de l'invalidité
- Connaissance des lois provinciales pertinentes en matière d'emploi et des exigences légales
- Forte expérience avec le traitement de texte, les tableurs, la messagerie électronique, Internet et les logiciels de base de données
- L'obtention d'un diplôme universitaire en anatomie, biologie, kinésiologie, sciences de la vie ou psychologie est un atout
- Communication verbale/écrite et compétences interpersonnelles bien développées
- Compétences relationnelles client bien développées
- Capacité à travailler de manière autonome et en tant que membre d'une équipe collaborative
- Capacité à prioriser et à équilibrer plusieurs tâches
- Capacité à rechercher, analyser, évaluer, négocier, prendre des décisions et résoudre des problèmes
- Capacité à appliquer les conditions de la politique et les lignes directrices en matière d'arbitrage
- LOMA 280, 290, HIAA, CEBS - GBA sont des atouts
- Avoir la capacité de se déplacer vers un emplacement de l'Empire Vie, si nécessaire
-
claims manager
1 week ago
Intact Dieppe, NB, Canada Full timeOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. · Feel empowered to learn and ...
-
Manager, Claims Management
3 weeks ago
Knewin Dieppe, NB, CanadaThe Materials Manager is an integral member of ADI's distribution and operations team with focus on optimization of warehousing functions to support world class customer service levels while delivering on financial business targets. · Through a fully hands on approach, the Mater ...
-
Unit Claims Manager
1 week ago
Intact Moncton, CanadaOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. · Feel empowered to learn and g ...
-
AVP, Claims Shared Services
5 days ago
Co-operators Moncton, Canada Full timeCompany: Cooperators · Department: Claims · Employment Type: Regular Full-Time · Work Model: Hybrid · Language: English is required, French is an asset. · The Opportunity: · We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainab ...
-
Bilingual Case Management Coordinator
2 weeks ago
Medavie Blue Cross Moncton, CanadaFor over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. ...
-
Claims Administrative Assistant
3 weeks ago
Co-operators Moncton, Canada Full timeCompany: CGIC · Department: Claims · Employment Type: Temporary Full-Time (12 months) · Work Model: Hybrid · Language: English is required, French is an asset. · The Opportunity: · We are a leading Canadian financial services co-operative committed to being a catalyst for a sust ...
-
Case Management Coordinator
1 week ago
Medavie Blue Cross Moncton, CanadaFor over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. ...
-
Bilingual Fraud Claims Analyst
3 hours ago
Scotiabank Moncton, CanadaRequisition ID: 201040 · Tangerine is Canada's leading direct bank. We offer flexible and accessible banking options, innovative products, and award-winning Client service. The reason why Tangerine employees come to work each day is to help Canadians live better lives. We focus o ...
-
Bilingual Fraud Claims Analyst
3 hours ago
Tangerine Moncton, CanadaIs this role right for you? · In this role, you will: Collect all necessary data while probing for additional details to determine the best course of action for solving fraud claims, while enhancing customer experience, and minimizing losses · Adjudicate liability for fraud/dis ...
-
Audit Investigator
2 weeks ago
Medavie Blue Cross Moncton, CanadaFor over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. ...
-
Audit Investigator
1 week ago
Medavie Blue Cross Moncton, CanadaFor over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. ...
-
Junior Procurement Specialist
2 days ago
Université de Moncton Moncton, CanadaFonction et information générale · Master Packaging Inc. the leader of corrugate and folding carton packaging located in Dieppe, New Brunswick and Borden, Prince Edward Island is currently seeking a self-motivated and energetic individual to join our team as a full-time on-site ...
-
Service Manager
23 hours ago
Next Level Group Moncton, Canada Full timeNext Level Group is an executive search firm partnering with Manufacturing companies throughout Canada and the US. We have been a driving force in the North American staffing industry since 2011. We built our staffing agency on the need for business and staffing solution partners ...
-
Intermediate Accountant
2 days ago
Lounsbury Group of Companies Moncton, Canada svg.emp_type .st0{fill:#7B7C7E;}Full time - PermanentDiscover · The Opportunity · The Opportunity · The Lounsbury Group of Companies is looking for an Intermediate Accountant to work within our centralized accounting department located at our Lounsbury Chevrolet dealership on West Main Street in Moncton. · The Intermediate Acco ...
-
Remote Dispute Services Advisor
3 weeks ago
Millennium 1 Solutions Moncton, Canada Full timeDescription · With people at the heart of our success, NTT Data is committed to attracting and growing the best talent and providing an environment where everyone feels they can belong and their contribution matters. It's our belief in possibility that drives us, but it's our pe ...
-
Legal Counsel, Commercial Law
2 weeks ago
Intact Financial Corporation Moncton, NB, CanadaNotre formule hybride permet de maintenir un équilibre entre le télétravail et les avantages des interactions en personne. · We're looking for an In-House Legal Counsel to join our growing team · Responsible for providing legal representation to the claims department and its ins ...
-
Case Management Coordinator
1 week ago
Medavie Blue Cross Moncton, CanadaFor over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. ...
-
Audit Investigator
1 week ago
Medavie Blue Cross Moncton, Canada· For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challeng ...
-
Construction Site Inspector
1 day ago
Stantec Consulting International Ltd. Moncton, CanadaConstruction Site Inspector E2 ) · Description · Do you see your career as a highway to a brighter future? Join our roadways team to drive forth our economies, our societies, and your career. · Your Opportunity · Stantec's Infrastructure Team provides planning, design and constru ...
-
Junior Insolvency Analyst
2 weeks ago
BDO Canada LLP Moncton, CanadaJunior Insolvency Analyst page is loaded · Junior Insolvency Analyst · Apply locations Moncton time type Full time posted on Posted 2 Days Ago job requisition id JR2719 Putting people first, every day · BDO is a firm built on a foundation of positive relationships with our peopl ...
Bilingual (French/English) Disability Claim Manager - Moncton, Canada - S&P Data
Description
We are looking to hire a Bilingual (French/English) Disability Claim Manager to join Empire Life's Group Operations team. The Claim Manager applies disability management best practices to effectively manage the payment, expenses and risk associated with weekly indemnity and long-term disability claims within approved authority limits. Successful applicants will report to the Manager, Life and Disability Claim Management.
What will you do?
What is in it for you?
What makes you a good fit?
Nous cherchons à embaucher un Gestionnaire de Demandes de Règlement D'invalidité Bilingue (Français/Anglais) pour se joindre à l'équipe des opérations collectives de l'Empire Vie. Le gestionnaire de demandes de règlement applique les meilleures pratiques de gestion de l'invalidité pour gérer efficacement les paiements, les dépenses et les risques associés aux demandes de règlement d'indemnités hebdomadaires et d'invalidité de longue durée dans les limites des pouvoirs approuvés. Les candidats retenus relèveront du Gestionnaire, Gestion des Demandes de Règlement D'assurance vie et Invalidité.
Que ferez-vous?
Qu'est-ce que vous y gagnez ?
Qu'est-ce qui fait de vous un bon candidat ?
#spon
