iA Financial Group is the fourth largest life and health insurance company in Canada and offers a wide range of products for all stages of life and to meet the needs of clients across its vast sales network.
Founded in 1892, iA Financial Group’s stability and solidity make it an employer of choice that invests in its employees and their development over the long term.
With operations across Canada and in the United States, iA Financial Group and its over 5,000 employees work hard every day to offer the best service to over four million clients.
We are currently pro-actively sourcing for Disability Case Managers to add to our Toronto Team for upcoming / future opportunities.
Reporting to the Manager, Group Life and Disability Claims, the Disability Case Manager will be responsible for processing long- term disability claims in order to determine if the participant is eligible for disability benefits while relying on medical reports deemed necessary as well as related policies and procedures.
The Case Manager must develop a case management plan for every claim.
Main Responsibilities :
Assess disability claims via telephone to determine eligibility for benefits while providing consideration to medical information and contractual provision
Conduct detailed telephone interviews to obtain the pertinent medical and non-medical information
Develop and execute a case management plan
Assess and identify the non-medical factors and functional limitations which are likely to influence the duration of disability, and facilitate the return to work in collaboration with a rehabilitation team
Determine the gradual return to work plan in collaboration with the attending physician, participant, and policyholder, as needed
Communicate with policy holders, participants, health professionals, other services providers as well as various level of government, in writing, by email, telephone, and fax
Manage difficult calls with dissatisfied and potentially irate callers as a result of a decision that impacts benefit eligibility
Maintain the participant’s file in the system
Commit to providing a high level of service
Actively and proactively manage disability claims and using all sources available including IME’s and other resources available
Responsible for all billing of EI (Early Intervention)
Attend meetings with clients and suppliers
Provide assistance with special projects
Post Secondary education (health profession, human resources or related field), and 4 to 5 years of related experience
Excellent communication skills
Well organized individual with strong analytical skills, excellent problem solving ability, and ability to work with minimal supervision
Positive attitude, and the ability to work in a fast paced and demanding work environment
Ability to work with multiple deadlines
Adaptability and flexibility are necessary in this role
Knowledge of occupational health and safety and medical terminology
Customer Service oriented
Ability to work in a multi-functional team environment
Bilingual in both French and English (written and verbal) is a strong asset.