Disability Case Manager

Princeton Holdings Limited•North Dumfries, ON

61d

About The Position

Reporting to the Manager, Wellness & Disability Solutions, the Disability Case Manager will be responsible for the proactive management of short-term disability, accommodation and other absence leave claims. They are responsible for delivering timely, professional and responsive service to our clients. Case management will be performed using our proprietary disability program. We approach disability management with a holistic client-centered view, and our success comes from our strong collaborative and functional approach to case management.

Requirements

Post-secondary diploma or degree in an area of health or behavioral sciences
Minimum of 3 years short/long term disability claims management
Proficient keyboarding and computer skills, including Word and Excel
Strong attention to detail and sound judgment, ethics and integrity
Highly driven and self-motivated
Strong customer service and caring attitude
Exceptional decision making, analytical and problem-solving skills
Demonstrated organizational skills and ability to juggle multiple demands to achieve priorities and required results
Demonstrated ability to tackle contentious situations and negotiate positive results
Proven ability to work collaboratively in a team environment
Superior written and oral communication skills including professional business writing in English

Nice To Haves

Worker Compensation claims and process (WSIB or other similar provincial boards) experience considered an asset
French language is an asset

Responsibilities

Review medical, functional, cognitive, employment, and contractual information to determine benefit entitlement
Proactively manage claims to support recovery and return-to-work programs
Communicate decisions (approvals or declines) clearly to all stakeholders
Maintain regular professional contact with clients regarding claim status
Develop and implement comprehensive case management plans, including workplace accommodations
Respond to inquiries from claimants, employers, physicians, lawyers, and internal partners
Coordinate medical consultant discussions and referrals for file reviews
Resolve employee or client complaints and service issues professionally
Participate in case conferences and occasional client meetings (travel may be required)
Provide education and support to employers on disability management best practices and AODA compliance
Achieve audit scores of 90% or greater or show 10% improvement year-over-year
Meet or exceed SLAs
New claims processed within 2 days
Documentation within 5 days
Communication responses within 24 hours
Quarterly review and update of client special handling documents