Claim Manager

THE EMPIRE LIFE INS. CO•Montreal, QC

13d•Hybrid

About The Position

Empire Life is looking to hire a Claim Manager to join our Group Operations team! We are actively seeking candidates to fill a current, open position. Why pursue this opportunity Impactful work - get the opportunity to work on meaningful projects that have a positive impact on our customers, our company, and society as a whole. 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.

Requirements

2+ years 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 post-secondary courses in kinesiology, anatomy, biology, life sciences or rehabilitation
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 analyze, evaluate, negotiate, make decisions and resolve problems
Ability to apply policy terms and adjudication guidelines
If you are applying for a position which is open to applicants across Canada, unless otherwise indicated in the position, language proficiency in English is required for communicating with customers, advisors, or employees across Canada.

Nice To Haves

Bilingualism in French and English is an asset
LOMA 280, 290, HIAA, CEBS - GBA are assets

Responsibilities

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
Based on department standards, ensure proactive and timely communication with our customers regarding claim status and developments
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 third party organizations
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
Accountable for positive file resolution and appropriate outcomes

Benefits

Hybrid work model
Competitive salaries with annual pay increases
Annual bonus program, which recognizes both strong company performance and individual contributions, for non sales positions
Access to learning & development programs, and education/tuition reimbursement (role dependent), to support your professional growth and career advancement.
Competitive uncapped commission, for sales positions
A comprehensive employer-funded benefits package starting from day one of employment, that includes life insurance, health and dental and a generous health account
Flexible work arrangements and an annual allotment of personal health days.
Four weeks annual vacation from 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