Job Summary :
The Bilingual Case Manager is responsible for the proactive management of assigned disability claims.
They are also responsible for delivering timely, professional and responsive service to our clients and
their employees. Case management tasks will be performed using a computerized COLO program.
Including, but are not limited to :
Assess new claims to determine initial entitlement for benefits in accordance with contractual provisions of the client;
Proactively manage accepted claims through identification of appropriate cost effective measures to manage claim duration;
Decline or approve claims by relying on medical reports deemed necessary and related policies / procedures;
Develop and execute comprehensive case management plans including implementation of return-to-work programs and accommodation within the workplace;
Effectively communicates claim decisions to claimants and employers.
Responds to inquiries from claimants, employers, physicians, lawyers, and internal business partners;
Follows up on the persistency of disability with claimants requesting supportive medical documentation as required;
Ensures all client records and case managements notes are accurately documented and maintained;
Work collaboratively and communicate clearly and professionally with co-workers;
Active participation in RTH team meetings;
Co-ordinate IME / FAE / Medaca referrals, file preparation and status updates as required;
Co-ordinate Medical Consultant discussions and referrals for file reviews;
Provide resources to resolve complaint / concerns and service issues;
Participate in case conference calls with clients upon request;
Maintains regular professional contact with clients in regards to claimant’s status;
Attend client meetings to discuss disability case management strategies;
Assists in provision of reports as requested.
Minimum of 3 to 5 years short / long term disability claims management;
University Degree / College Diploma (area of Health Science as asset);
Medical Terminology certification an asset;
Excellent keyboarding skills and input accuracy;
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 oral, listening and written communication skills;
Proven written and verbal French language abilities.
We invite interested candidates submit their resume in confidence to human.resources cowangroup.ca. While we appreciate the interest of all applicants, we will contact only those selected for interviews.
If you are an applicant with disabilities and require accommodations, please let us know at the time of our contact so that we may arrange for their provision.
We are an Equal Opportunity Employer. Employee candidates will be selected strictly on the basis of an individual's technical qualifications, knowledge and experience, as they relate to the requirements of a particular position.
Selections will be made without regard to : race, ancestry, place of origin, colour, ethnic origin, citizenship, creed (religion), sex, sexual orientation, handicaps (physical or mental), age, marital status, family status, or the receipt of public assistance or record of offences.