Bilingual Disability Claims Specialist
About The Position
As a national health solutions partner, Medavie puts people first in everything they do, starting with their team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise. By collaborating and innovating together, employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year. Medavie's mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest — and it’s reflected in their award-winning culture. They celebrate individuality and value the diverse perspectives and skills their employees contribute. They go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. As a Bilingual Disability Claims Specialist, you will be working and collaborating with a dynamic and talented team of professionals in a high-energy work environment supporting our members through illness, recovery and return to work by providing them with disability benefits and proactive case management. In this role you will help members to realize their potential for productive lives, to the best of their abilities. At Medavie you have the flexibility to work from wherever you're most productive and inspired — be it your home office, a few days at home or at work or full time in our offices.
Requirements
- University degree or a completed college diploma related to occupational health, disability management, kinesiology, Education, Human Resources, Legal Study areas are assets but are not limited.
- Candidates with a combination of education and/or experience with well-developed analytical, decision-making and problem solving skills.
- Experience in a professional setting where you have the demonstrated ability to make critical decisions, solve problems and both work as a team and autonomously to pivot quickly and help clients navigate complex situations
- Proficiency working with Microsoft Office applications (Word, Excel and Outlook)
- Strong technical aptitude: You can multitask and navigate between multiple software applications simultaneously while ensuring detailed online notes and tracking of information
- Bilingualism (English and French)
- Proficient English is required to perform the duties of the role, which include daily collaboration with teams and partners outside Québec who operate primarily in English.
- Exceptional written and oral communication skills
- Well-developed organizational and prioritization skills
- Positive attitude with a drive to succeed and a commitment to quality service
- You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs
- Experience providing customer care, support, and assistance with the ability to communicate complex and difficult information clearly
- Strong initiative, leadership, and strategic thinking
- Excellent problem-solving with the ability to work independently and with all levels of the organization
- Ability to maintain a high degree of accuracy in a fast-paced environment
Nice To Haves
- For those with work experience related to disability claims management, insurance benefits, adult education, kinesiology or other health-related industries or new graduates with a Degree or Diploma in Disability Management, Kinesiology, Rehabilitation Medicine or other health-sciences – we want to hear from you!
- Experience in assessing different information sources to inform decisions and to advise customers is a definite asset
Responsibilities
- Responsible for the disability claim adjudication from the initial decision to building the right case management plan including identifying the supports needed for each case, monitoring treatment and the achievement of the plan, and working with the claimant, employer and providers involved in the case.
- Active case management of files, providing regular communication with all stakeholders and assessing the use of claims tools (rehab etc.) and requesting ongoing medical as needed
- Provide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularly
- Ensure that required tasks within the assigned case load meet service level standards
- Render timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimants
- Build effective relationships with key stakeholders (the claimants, the treatment providers and physicians, the employers, group administrators, human resources, and lawyers) to support recovery and return to work
- Ensure effective and consistent use of our electronic case management system
Benefits
- Flexible work arrangements and emphasis on work-life balance
- Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day
- 100% employer-matched Defined Contribution Pension Plan
- Annual Incentive Bonus which recognizes your contribution to our success
- Paid vacation and additional Vacation Purchase Program
- Wellness benefits, health resources and fitness center discounts
- 15-week paid training program (virtual)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
