Bilingual Senior Disability Claims Coach

Medavie; Canada; On-site; CAD 83,000 - 92,000; Full time

Benefits offered by this job

Flexible work options

Health & dental coverage

Pension plan

Annual bonus

Vacation & leave

Wellness benefits

Career growth

Job summary

Medavie, a national health solutions partner in Canada, is seeking a Senior Disability Claims Consultant to lead coaching and development of disability claims specialists and consultants. You will monitor case management lifecycle, ensure quality, and support collaboration with members, employers, and healthcare providers to achieve effective outcomes.

Ideal candidates hold a university degree, 5+ years in disability case management, and bilingual English/French, with a deep understanding of

Qualifications

• University degree or college diploma in a relevant discipline.
• At least 5 years’ experience in disability case management with another insurer or government agency managing short- and long-term disability claims.
• Demonstrated written and verbal communication skills to successfully review and correct various communications, interview and decision letters to claimants, providers, physicians, employers, group administrators, human resources, and lawyers.
• Demonstrated strong knowledge of contract wording, with the ability to thoroughly analyze disability management trend reports, medical reports, and other available tools (e.g., Independent Medical Exams, Functional Capacity Evaluations, surveillance, and medical consultant reviews).
• Background in training or in coaching in order to communicate complex and difficult concepts clearly with logic, tact and sensitivity will be considered as a strong asset
• A deep understanding of the health care and insurance fields, health-related terminology, concepts of accommodation and return to work
• 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.

Responsibilities

• Initial claim decisions
• Development of appropriate case management plans
• Effective communication practices
• Key milestones (e.g., COD, CPPD, etc.)
• Identification of required support
• Monitoring treatment progress and plan outcomes
• Coach and develop disability claim specialists and consultants
• Increase and monitor quality of case management according to the active case management protocol
• Build effective relationships to support development and engagement of employees
• Review and correct Disability management files and reports
• Manage action plan and decision (or provide recommendation) on highly complex disability claims
• Support collaboration with members, employers, and healthcare providers to ensure timely, well-informed, and effective case management practices

Skills

Strong communication

Bilingual English/French

Education

University degree or college diploma in a relevant discipline

Job description

Medavie, a national health solutions partner in Canada, is seeking a Senior Disability Claims Consultant to lead coaching and development of disability claims specialists and consultants. You will monitor case management lifecycle, ensure quality, and support collaboration with members, employers, and healthcare providers to achieve effective outcomes.

Ideal candidates hold a university degree, 5+ years in disability case management, and bilingual English/French, with a deep understanding of