Disability Case Manager, Employer Services

Disability Management Institute

18d•Remote

About The Position

The Disability Case Manager (Employer Services) will be responsible for providing a high caliber of Advice to Pay claims management services to a broad customer and client base within the Employer marketplace. This will be accomplished through the development and implementation of pro-active case adjudication and management principles within timely and cost-effective strategic tools and resources. This is a remote role within Canada. We are open to candidates across the country, however you must work within our core business hours.

Requirements

Related post-secondary degree (i.e. Kinesiology, Psychology, Social Work, or related discipline) or equivalent experience.
Solid background and knowledge of STD policy and coverage; understanding of LTD and Group plans is an asset.
Strong analytical skills, excellent problem-solving abilities, and ability to work with a minimum of supervision.
Professional communication skills, oral and written, with the ability to adapt communication style for a range of stakeholder and client needs.
Experience and knowledge of vocational rehabilitation services.
Conscientious, resourceful, and self-motivated with a positive attitude toward navigating barriers.
Strong organizational abilities and a capacity for multitasking.
Ability to successfully interface with conflicting agendas while acting in an even-handed manner.
Strong interview skills with an aptitude for perceiving and uncovering underlying interests and motivations.
Ability to manage expectations of all stakeholders (employee, employer, lawyer, doctors, union, etc.) as necessary.
Ability to adapt to rapidly changing circumstances and new ways of working, with excellent time management skills and the ability to meet tight deadlines.
Sound computer skills including Microsoft Outlook, Word, Excel, and PowerPoint.

Nice To Haves

understanding of LTD and Group plans

Responsibilities

Assess short-term disability claims for benefit eligibility and render decisions within service standards, including evaluation of medical information, occupational and contractual provisions, and pursuit of additional information as required.
Conduct telephone interviews focused on obtaining pertinent medical and treatment status, functional information, and return-to-work readiness.
Identify and evaluate medical and non-medical barriers and functional abilities to positively impact outcomes.
Develop, communicate, and implement pro-active case management plans.
Collaborate, negotiate, and develop return-to-work plans.
Identify suitable rehabilitation referrals in keeping with employer disability and absence policies and costing.
Utilize external and internal resources to progress files forward to resolution, with a focus on function and gainful employment.
Collaborate with healthcare providers and physicians, written or verbal, based on the needs of the claim.
Manage external referrals, services, and relationships with service providers and strategic partners through research and knowledge of local community resources.
Demonstrate understanding of employer-specific resources (i.e. EFAP) and coordination of the same.
Demonstrate an understanding of various rehabilitation and vocational tools that may be applied to move toward resolution.
Serve as an expert claims management resource for customers and internal business units.
Engage in professional interaction with all stakeholders on a regular basis, including timely and efficient follow-up to telephone and email communication.
Provide timely, detailed documentation to ensure progression and fulfillment of case management plans.