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REMOTE - Bilingual Disability Claims Specialist

Medavie Blue Cross - 22 Jobs
Quebec City, QC
In-person
Full-time
Experienced
Company Benefits
Flexible Work
Posted 15 days ago

Our class is starting September 23rd

Apply today and secure your new Career with Medavie!

Job Title: REMOTE - Bilingual Disability Claims Specialist Department: Life & Disability Competition: 87083 Internal/External: Both Employment Type: Full Time Permanent Location: Atlantic, ON, QC - Remote Salary: Competitive Compensation Reports To: Team Leader

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 claimand 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 isan 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 : Bilingualism (English/French) is mandatory for this position

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

A little more about Medavie:

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers, and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada's Top 100 Employers, Canada's Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.

Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community minded. We're committed to ensuring our employees thrive in our award- winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.

Together with Medavie Health Services, we are part of Medavie - a national health solutions partner with over 7,200 employees. Our mission is to improve the wellbeing of Canadians.

#CBM1

We are an Equal Opportunity Employer.

Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential -a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.

We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.

Job Segment: Rehabilitation, Healthcare Consultant, Counseling, Claims, Healthcare, Customer Service, Insurance

Competition Number: 580934317
Company Website: http://www.medaviebc.ca
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About Medavie Blue Cross

About Medavie Blue Cross

Join an exceptional organization!

Medavie Blue Cross is proud to be one of Canada's Most Admired Corporate Cultures. The insurance business is about more than just claims - it's about relationships too. As a not-for-profit health care provider, caring for our employees, our clients and our communities is core to who we are.

Why Work with Us?

Medavie Blue Cross is a leading member of the Canadian Association of Blue Cross plans that collectively provide coverage to over seven million Canadians. As a not-for-profit organization, we provide health, dental, travel, life and disability benefits to individuals and organizations, and administer various government-sponsored health programs. Our shareholders are the employees, clients and communities we serve. We channel an annual social dividend to the Medavie Health Foundation as part of our commitment to helping Canadians live their best lives, both mentally and physically.

Engaging Culture

We've been recognized as one of Canada's Top 10 Most Admired Corporate Cultures, and embrace this honour every day. We are big enough to make a difference but small enough that everyone can have a voice, influence outcomes and see the impact of their work. You'll join a team of talented individuals who have passion, experience and motivation to make a difference in the lives of customers. People stay because of the relationships they form with coworkers and customers.

Total Rewards Package

We offer competitive compensation and great benefits like a comprehensive health and dental plan that is 100% paid by us, pensions with contribution matching, RRSPs, and short and long-term disability and life insurance. We strive to provide a stable work environment dedicated to long-term, healthy employment relationships so you can excel in what you do.

Healthy Work Environment

Our work environment enables employees to be respected and fulfilled both professionally and personally through healthy relationships, work-life balance and meaningful work. We are committed to our employees' health and wellbeing, but we know improving health outcomes starts with us. That's why we believe employees who are given flexibility and are able to balance their career and lives will contribute more.

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