Canada Job Openings

Medavie Blue Cross

REMOTE - Bilingual Disability Claims Specialist

FULL TIME

November 18, 2024

Position Type:

Permanent

If you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place.

As a national health solutions partner, we put people first in everything we do — and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.

Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest — and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.

Our class is starting January 27th, 2025

Apply today and secure your new Career with Medavie!

As a Bilingual Disability Claims Specialist, you will be working and collaborating with a team of talented professionals in a high-energy work environment to ensure service level standards are met by managing a block of short or long-term disability cases.

You will support our plan members through illness, recovery and return to work by providing them with disability benefits and proactive case management.

At Medavie you have the flexibility to work from wherever you're most productive and inspired — be it your home office, a few days at home or at work or full time in our offices.

Key Responsibilities:

Responsible for the disability claim adjudication from the initial decision to building the right case management plan including: identifying the supports needed for each case, monitoring treatment and the achievement of the plan, and working with the claimant, employer and providers involved in the case.
Active case management of files, providing regular communication with all stakeholders and assessing the use of claims tools (rehab etc.) and requesting ongoing medical as needed
Provide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularly
Ensure that required tasks within the assigned case load meet service level standards
Render timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimants
Build effective relationships with key stakeholders (the claimants, the treatment providers and physicians, the employers, group administrators, human resources, and lawyers) to support recovery and return to work
Ensure effective and consistent use of our electronic case management system

Qualifications:

Education: Bachelor's Degree or equivalent
Work Experience:
- Experience in a Healthcare related field would be an asset but not required
- Insurance industry knowledge is an asset, along with health-related terminology, concepts of accommodation and return to work
- Experience and knowledge of managing files related to mental health is an asset
- An understanding of contract wording and the ability to thoroughly review medical reports and other tools available (e.g., Independent Medical Exams, Functional Capacity Exams, surveillance, medical consultant reviews) is an asset
Computer Skills:
- Proficiency working with Microsoft Office applications (Word, Excel and Outlook)
- Experience working with an electronic case management system (we use Fineos) an asset
Language: Be fluently bilingual (English-French); In order to meet the needs of the English-speaking clientele, this position requires bilingualism

Professional Experience:

Exceptional written and oral communication skills
Well-developed organizational and prioritization skills
You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs
Experience providing customer care, support, and assistance with the ability to communicate complex and difficult information clearly
Strong initiative, leadership, and strategic thinking
Excellent problem-solving with the ability to work independently and with all levels of the organization
Ability to maintain a high degree of accuracy in a fast-paced environment
Ability to make decisions and problem solve, taking the initiative to do so with minimal direction/supervision

We've got you covered!

Flexible work arrangements and emphasis on work-life balance
Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day
100% employer-matched Defined Contribution Pension Plan
Annual Incentive Bonus which recognizes your contribution to our success
Paid vacation and additional Vacation Purchase Program
Wellness benefits, health resources and fitness center discounts
Learning: To set you up for success, you will participate virtually in our 15-week paid training program, which will provide you with the necessary education, tools and resources required. While in training, you will be surrounded with colleagues who have your best interest at heart and will continue to support you as you gain your autonomy.
Career Growth: We offer a career path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie

#LI-VS1

#CBM1

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

If you experience any technical issues throughout the application process, please email:

Medavie.Recruitment@medavie.ca

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