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Saskatoon

    Care Manager - Saskatoon, SK, Canada - Blue Cross

    Blue Cross
    Blue Cross Saskatoon, SK, Canada

    1 week ago

    Default job background
    Full time
    Description

    Saskatchewan Blue Cross, one of Saskatchewan's Top Employers, is currently recruiting for a full-time permanent Disability Case Manager to join our team in the Life & Disability Services Department.

    This position offers the flexibility to be in-office or participate in hybrid options in our Saskatoon or Regina office.

    If you are strong in process management and operational execution, have a keen eye for detail, thrive in a fast-paced environment, and have a passion for providing an amazing customer experience, then we're looking for you Under the direct supervision of the Team Lead, Life & Disability Services, and reporting directly to the Manager, Life & Disability Services, the Disability Case Manager is responsible for the assessment of disability claims consistent with company policies and goals.

    They will review medical information, job responsibilities, conduct phone interviews, develop case management strategies, and return to work plans to support the approval and ongoingmanagement of claims.

    We're driven by a mission to empower communities on their journey to whole health and wellness, and have a lot of exciting things ahead of us.

    The wellbeing of our employees, our members, our partners, and our communities is at the heart of our operations.
    Believe that creating great experiences is totally within their control
    Responsible for disability claim eligibility decisions and payment approvals in accordance with contractual provisions
    Initiates and performs the analysis, investigation and assessment of disability claims, documenting case management plans and goals, determines appropriate action and eligibility for benefits
    Conduct and document complete and thorough disability assessments through phone interviews with both the claimant and employer, careful review of medical information, analysis of job description information, and discussions with Medical Consultants
    Develops, documents, and executes pertinent and comprehensive disability management strategies unique to each case file
    Develops and manages effective return to work strategies with input and support of the claimant, employer, and other key stakeholders
    Organizes and coordinates claim file workflow, facilitating the efficient and effective processing of claims and information
    Effectively and confidently communicates claim decisions in writing and by telephone to all stakeholders, while considering how certain outcomes may affect all parties involved
    Actively contributes to the development and execution of strategic and operational disability management objectives at both the departmental and corporate levels
    Ensures all claimant information and records are kept confidential and handled in compliance with applicable health records legislation

    Completion of a post-secondary Bachelor's Degree, Diploma or certificate program in a related field or a minimum of one to three years experience in a similar role.

    An equivalent combination of training and experience may be considered
    Demonstrated commitment to ongoing professional development, and willingness to participate in industry courses/training
    Experience in the delivery of health or business-related services, knowledge of disability case management, and/or group benefits would be considered an asset
    Knowledge and interest in current and emerging disability practices and standards
    Knowledge of applicable laws and regulations, including but not limited to CPP, Workers Compensation, and other publicly sponsored worker assistance programs would be considered an asset
    Strong computer skills with a working knowledge in Microsoft Word and Excel, and the ability to easily learn new software programs
    Ability to handle shifting priorities, maintain confidentiality, and meet deadlines
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