Bilingual Disability Case Manager

Ellement Consulting Group; Vaughan; On-site; CAD 65,000 - 90,000; Full time

Job summary

Ellement Consulting Group in Vaughan, Canada is seeking a Disability Case Manager to oversee STD claims from intake to resolution, assess functional abilities, determine eligibility, and coordinate care and return-to-work plans.

The role requires strong analytical and communication skills, the ability to manage a caseload, fluency in English and French, and a health-related degree. On-site position with potential collaboration across Ellement divisions.

Qualifications

• Bachelor’s degree or diploma in a health-related field (preferred).
• Minimum 2 years of experience in disability case management, benefits administration, claims adjudication or healthcare-related roles.
• Knowledge of medical and mental health conditions; strong analytical abilities.

Responsibilities

• Review STD applications and determine eligibility based on medical and policy criteria.
• Ensure documentation is complete and accurate for claim adjudication.
• Evaluate claims through communication with claimants, employers, and healthcare providers.
• Coordinate timely medical assessments and return-to-work planning.
• Calculate and issue accurate benefit payments and maintain records.

Skills

Disability case management

Benefits administration

Claims adjudication

Analytical skills

Decision-making

Attention to detail

Communication skills

Multitasking

Conflict resolution

Written communication

Education

Bachelor’s degree or health-related diploma

Job description

Company Overview

Ellement Consulting Group (Ellement) is a privately owned actuarial consulting firm founded in 1996. We deliver actuarial, administration, software, and consulting solutions for pension, benefits, and investment programs across Canada, serving individuals, corporations, unions, associations, and government organizations.

Position Summary

The Disability Case Manager is responsible for managing short-term disability (STD) claims from intake through resolution. This role involves assessing functional abilities, determining eligibility, coordinating medical care, and facilitating safe and timely return-to-work outcomes. Success in this role requires strong analytical skills, effective communication, and a client-focused approach.

Location

This is a full-time, on-site position based in our Vaughn office.

Key Responsibilities

• Review short-term disability applications to determine eligibility based on medical and policy criteria
• Ensure all required documentation is complete and accurate for claim adjudication
• Evaluate claims through communication with claimants, employers, and healthcare providers
• Assess functional abilities and support return-to-work planning
• Coordinate timely medical assessments and treatment plans
• Communicate claim decisions clearly, both verbally and in writing
• Resolve client inquiries and issues promptly and professionally
• Manage claims throughout the lifecycle until resolution or transition to long-term case management
• Calculate and issue accurate benefit payments
• Maintain precise records of weekly and monthly disability payments
• Coordinate premium waivers with insurance providers
• Maintain professional, confidential communication with all stakeholders
• Manage an assigned caseload and develop expertise in specific client groups
• Collaborate with internal teams across Ellement divisions
• Support additional projects and administrative duties as required

Education

• Bachelor’s degree or diploma in a health-related field (preferred)

Experience

Minimum 2 years of experience in:

• Disability case management
• Benefits administration
• Claims adjudication or healthcare-related roles

Skills & Competencies

• Strong understanding of medical and mental health conditions
• Excellent analytical and decision-making abilities
• Strong numerical and calculation skills
• Ability to manage multiple priorities in a fast-paced environment
• High attention to detail and organizational skills
• Strong conflict resolution and problem-solving skills
• Excellent verbal and written communication

Language Requirements

• Candidates must be fluent in both English and French (spoken and written).

Certifications

• Paramedical services therapist license (preferred)

Attributes

• Ability to handle sensitive medical information with strict confidentiality
• Resilient and adaptable in time-sensitive environments
• Client-focused with strong interpersonal skills
• Collaborative team player with a proactive approach

Additional Requirements

• Successful completion of a criminal background check