Bilingual Disability Claims Specialist

Medavie Inc.; Montreal; Teletrabalho; CAD 70 000 - 82 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Comprehensive health plan

Employer-paid pension plan

Annual incentive bonus

Paid vacation

Wellness benefits

Paid training program

Career growth

Resumo da oferta

Medavie Inc. in Canada seeks a Disability Claims Specialist to support members through illness, recovery and return to work with disability benefits and proactive case management.

The role emphasizes collaboration with a dynamic team in a high-energy environment and supports members across Canada in both official languages. You will manage complex cases, communicate decisions, and partner with employers, providers and HR to optimize recovery and work readiness, with flexible work options

Qualificações

• Education: University degree or college diploma related to occupational health or disability management assets.
• Work experience in disability claims management or insurance benefits case management.
• Ability to communicate complex decisions and manage priorities independently.

Responsabilidades

• Manage disability claim adjudication from initial decision to case plan development.
• Provide active case management and regular stakeholder communications.
• Assess key claim lifecycle dates and update case plans accordingly.
• Ensure tasks meet service levels and communicate difficult decisions clearly.
• Build relationships with claimants, providers, employers, HR and lawyers to support recovery.

Conhecimentos

Bilingual English/French

Excellent communication

Organizational skills

Problem solving

Initiative & leadership

Independent worker

Formação académica

University degree or college diploma in relevant field

Ferramentas

Microsoft Office (Word, Excel, Outlook)

Descrição da oferta de emprego

About Medavie

Position Type: Permanent If you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place. As a national health solutions partner, we put people first in everything we do — and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year. Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest — and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. The next cohort will begin in mid-January 2027

As a Disability Claims Specialist, you will be working and collaborating with a dynamic and talented team of professionals in a high-energy work environment supporting our members through illness, recovery and return to work by providing them with disability benefits and proactive case management. In this role you will help members to realize their potential for productive lives, to the best of their abilities.

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 claim and 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: University degree or a completed college diploma related to occupational health, disability management, kinesiology, Education, Human Resources, Legal Study areas are assets but are not limited.
• Work Experience: Relevant work experience in disability claims management or insurance benefits case management, including assessing eligibility and managing an active caseload.
• Demonstrated experience making and communicating complex case decisions, managing competing priorities independently, and guiding clients through difficult situations.
• Experience reviewing contracts, medical documentation and reports to assess claims, support decisions and develop case management plans is an asset.

Computer Skills

• Proficiency working with Microsoft Office applications (Word, Excel and Outlook).
• Strong technical aptitude: You can multitask and navigate between multiple software applications simultaneously while ensuring detailed online notes and tracking of information.

Language Skills

• Bilingualism (English and French) is required to perform the duties of the role, which include daily collaboration with teams and partners in Canada who operate in both languages.

Professional Experience

• Exceptional written and oral communication skills.
• Well-developed organizational and prioritization skills.
• Positive attitude with a drive to succeed and a commitment to quality service.
• 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.

Benefits and Perks

• 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.

Pay Range

Pay Range: $69,934.53 – $81,954.53 (CAD) This posting is for an existing vacancy within our organization / Ce poste est actuellement vacant au sein de notre organisation. The Base Pay range may vary depending on the successful candidate or other relevant job-related factors such as knowledge, skills, qualifications, experience and education/training. In addition to Base Pay, eligible Medavie employees may participate in various performance-based incentive programs. Payments under these programs are discretionary and subject to both individual and organizational results.

Equal Opportunity

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted. While Medavie may use automated tools, including AI, to support application screening, candidates are expected to complete all recruitment interactions independently—without AI assistance to ensure a fair and equitable process.

Technical Support

If you experience any technical issues throughout the application process, please email: [e-mail].

Company Overview

We're recognized as one of Canada's best places to work and are a leading provider of health solutions and insurance for 1 in 10 Canadians. Full careers. Full lives. Medavie is a national health solutions partner and innovative leader in healthcare delivery, benefits management, health management, and primary care. Backed by the strength of a team of 8,500+ professionals from coast to coast, we’re committed to improving the wellbeing of Canadians so that every life can be lived to the fullest. Medavie provides all-in-one private health insurance, public health administration, emergency medical services as Canada's largest contracted provider, as well as primary care, community health, mental health and addictions solutions, medical communications, and clinical training. As a not-for-profit organization, Medavie is one of Canada’s Top 100 Employers, certified by Imagine Canada for philanthropy and community engagement, and Rainbow Registered as an organization that champions diversity, equity, and inclusion.