Case Manager Disability

TELUS Health • Houston, TX

2d • Remote

About The Position

TELUS Health is seeking a Concurrent Disability Case Manager to manage and adjudicate Short-Term Disability (STD) claims and leave requests, including FMLA, state, military, and company-specific leaves. The role evaluates eligibility under applicable federal, state, and plan-specific regulations, communicates with clients and claimants throughout the claims lifecycle, and manages cases in accordance with company practices and client-specific workflows. The case manager identifies barriers to a timely, successful return to work and collaborates with stakeholders on strategies to support return to work or an appropriate alternative plan.

The position is primarily in a professional remote environment and involves sedentary, high-volume telephone and computer-based work. It requires emotional intelligence and the ability to manage stressful situations involving employee health and legal compliance.

Requirements

• At least 3 years of direct experience managing leaves and STD disability cases.
• Computer skills and ability to work primarily online in a paperless environment.
• Strong interpersonal and helping skills, along with assessment and problem-solving skills.
• Deep understanding of FMLA and state-specific leave laws.
• Experience managing self-insured STD plans and company-specific paid and unpaid leave policies.
• Ability to review and interpret medical documentation, compare clinical restrictions with essential job functions, and make workplace accommodation recommendations.
• Exceptional conflict-resolution and negotiation skills.
• Ability to handle sensitive medical information with confidentiality and empathy.

Nice To Haves

• Registered professional status in disability management or a professional health sector.
• Additional coursework in occupational health, rehabilitation, disability-management legislation, helping relationship skills, mediation, human resource management, disability insurance, or psychological and workplace factors in disability.
• Spanish bilingual ability.
• Associate’s degree.

Responsibilities

• Manage and process FMLA and other applicable federal, military, state, and company-specific leave claims, as well as STD claims.
• Assess cases and contact employees and client contacts by telephone, email, or meetings to explain leave processes and employee responsibilities, and gather information for assessment.
• Document the situation and factors that support or inhibit a successful return to work.
• Review relevant information and consult appropriate resources, such as health professionals, supervisors, and external vendors, to make recommendations on leave and STD claim decisions.
• Analyze medical certifications and documentation, and ensure claim determinations meet regulatory timeframes and applicable STD policies.
• Inform STD claimants about required documentation, deadlines, claim status, and other information needed to manage their claims.
• Determine return-to-work goals with employees and employers, support return-to-work planning, and intervene when necessary.
• Serve as the primary case contact and proactively communicate with employer representatives throughout the claim lifecycle.
• Follow operating procedures and processes established through training and meetings.
• Attend case management and disability management team meetings and training as required.
• Complete other assigned projects and tasks.

Benefits

• Comprehensive total rewards package with competitive salary and bonus structures.
• Minimum 3 weeks of vacation.
• Flexible benefits plan for employees and their families.
• Flexibility to work in-office, virtually, or in a combination of both.
• Generous company-matched pension.
• Opportunity to give back to communities where the company works, lives, and serves.
• Career growth and learning and development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed