Bilingual Claim Manager

Robertson & Company Ltd.; Canada; Remote; CAD 50,000 - 95,000; Full time

Job summary

A leading Canadian Life Insurance Company seeks a Bilingual Claims Manager to oversee claims management for disability and indemnity. The role requires fluency in both English and French, alongside significant experience in the field. This fully remote position emphasizes managing costs and mitigating risks to fulfill organizational goals.

Qualifications

• 3+ years experience in disability claims management.
• Strong understanding of disability management practices.
• Knowledge of relevant provincial employment legislation.

Responsibilities

• Assess and determine eligibility for disability claims.
• Proactively manage the duration of active claims.
• Maintain communication with stakeholders about claims.

Skills

Fluency in English and French

Decision-making skills

Organizational skills

Interpersonal skills

Job description

1 day ago Be among the first 25 applicants

This position is fully remote within Canada, with optional hybrid work arrangements available based on location.

The Client:

Our client is a leading Canadian Life Insurance Company that operates in the life insurance and financial services sector. They offer a range of insurance products, including life insurance, critical illness insurance, and disability insurance.

What You Will Achieve in This Role:

The Bilingual Claims Manager is responsible for overseeing weekly indemnity and long-term disability claims by applying established best practices in disability management. This includes evaluating claims, managing related costs, and mitigating risk within designated authority limits.

Key Responsibilities:

• Assess and determine eligibility for initial and ongoing disability claims by reviewing medical documentation, job duties, contractual terms, and non-medical factors, in alignment with departmental and industry protocols.
• Proactively manage the duration of active claims using established disability management best practices.
• Conduct telephone interviews with claimants and employers to gather relevant information.
• Maintain clear, timely, and proactive communication with all stakeholders regarding claim status and updates, following departmental service standards.
• Develop and execute detailed case management plans for each claim, focusing on a safe, timely, and sustainable return to work; coordinate with treating physicians and employers, and arrange independent medical assessments or third-party services when appropriate.
• Partner with internal return-to-work specialists to create and oversee individualized return-to-work programs.
• Collaborate regularly with team members to exchange insights, share information, and develop solutions for complex claim scenarios.
• Ensure files are resolved effectively, with outcomes that are timely, appropriate, and aligned with both claimant needs and organizational goals.

What You Must Bring to This Role:

• Fluency in both English and French (spoken and written) is essential.
• 3+ years of experience in disability claims management.
• Strong understanding of disability management practices, insurance products, and relevant legislation.
• Knowledge of relevant provincial employment legislation and legal requirements.
• Excellent judgment and decision-making skills, particularly in complex or escalated claim scenarios.
• Outstanding communication and interpersonal skills, with the ability to collaborate across departments.
• Strong organizational skills and attention to detail, with the ability to manage competing priorities.
• LOMA 280, 290, HIAA, CEBS - GBA are assets
• Proficiency with digital tools and claims management platforms.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Customer Service

• Industries

  Insurance, Insurance Carriers, and Insurance Agencies and Brokerages

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