Bilingual Disability Case Manager II

Co-operators • Toronto, ON

2d • CA$60,574 - CA$100,956 • Hybrid

About The Position

The Disability Case Manager II adjudicates and independently manages early intervention, short term and/or long-term disability claims including claims of a complex nature. This involves assessing eligibility for disability benefits, developing case management plans, initiating and implementing interventions to minimize claim durations and calculating, authorizing and issuing disability benefits. This requires communication with claimants, employers, third party treatment providers and physicians, as well as lawyers, third party administrators and brokers.

Requirements

• 3-5 years related experience.
• Proficiency in both English and French is essential to the main duties in this role, including servicing and communicating primarily with majority anglophone and francophone clients, groups, and teams. The essential non-French duties are not assignable to adjacent or other team members.

Nice To Haves

• Post secondary degree in Kinesiology, Psychology, Disability Management or a related discipline an asset.
• Associate, Life and Health Claims (ALHC) designation an asset.

Responsibilities

• Review all documentation received including application forms, medical information, employment information and items from other insurers such as WCB and motor vehicle carriers.
• Triage claims as necessary to assess rehabilitation potential and to develop case management plans.
• Interview claimants and employers by telephone prior to making claim decisions.
• Proactively manage claims with the objective of minimizing disability periods and successfully returning claimants to work.
• Utilize the available resources to ensure appropriate diagnosis and treatment.
• Ensure compliance with recommendations and participation with rehabilitation interventions.
• Initiate assessments such as independent medical examinations, functional capacity examinations or surveillance when necessary.
• Clear and comprehensive ongoing written and verbal communication with claimants, employers, physicians, treatment providers, internal staff, brokers, third party administrators, lawyers and other parties such as WCB and CPP.

Benefits

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• Competitive salary and incentive programs.
• Comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree