Disability Case Manager

Ellement Consulting GroupWinnipeg, MB
CA$60,000 - CA$75,000

About The Position

The Disability Case Manager is responsible for managing short-term disability (STD) claims from intake through resolution. This role involves assessing functional abilities, determining eligibility, coordinating medical care, and facilitating safe and timely return-to-work outcomes. Success in this role requires strong analytical skills, effective communication, and a client-focused approach.

Requirements

  • Minimum 2 years of experience in Disability case management
  • Minimum 2 years of experience in Benefits administration
  • Minimum 2 years of experience in Claims adjudication or healthcare-related roles
  • Strong understanding of medical and mental health conditions
  • Excellent analytical and decision-making abilities
  • Strong numerical and calculation skills
  • Ability to manage multiple priorities in a fast-paced environment
  • High attention to detail and organizational skills
  • Strong conflict resolution and problem-solving skills
  • Excellent verbal and written communication
  • Ability to handle sensitive medical information with strict confidentiality
  • Resilient and adaptable in time-sensitive environments
  • Client-focused with strong interpersonal skills
  • Collaborative team player with a proactive approach
  • Successful completion of a criminal background check

Nice To Haves

  • Bachelor’s degree or diploma in a health-related field
  • Bilingualism (English and French)
  • Paramedical services therapist license

Responsibilities

  • Review short-term disability applications to determine eligibility based on medical and policy criteria
  • Ensure all required documentation is complete and accurate for claim adjudication
  • Evaluate claims through communication with claimants, employers, and healthcare providers
  • Assess functional abilities and support return-to-work planning
  • Coordinate timely medical assessments and treatment plans
  • Communicate claim decisions clearly, both verbally and in writing
  • Resolve client inquiries and issues promptly and professionally
  • Manage claims throughout the lifecycle until resolution or transition to long-term case management
  • Calculate and issue accurate benefit payments
  • Maintain precise records of weekly and monthly disability payments
  • Coordinate premium waivers with insurance providers
  • Maintain professional, confidential communication with all stakeholders
  • Manage an assigned caseload and develop expertise in specific client groups
  • Collaborate with internal teams across Ellement divisions
  • Support additional projects and administrative duties as required
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