Bilingual Senior Disability Claims Consultant

Medavie Inc.; Toronto; On-site; CAD 83,000 - 92,000; Full time

Benefits offered by this job

Flexible work arrangements

Health, vision and dental plan

Defined Contribution Pension Plan

Annual Incentive Bonus

Paid vacation and Vacation Purchase

Wellness benefits and fitness center

Career Growth opportunities

Job summary

Medavie Inc. is seeking a Senior Disability Claims Consultant to coach and develop disability claim specialists and consultants, and to lead cost-effective strategies that enhance case management quality and program outcomes.

You will monitor the disability case management lifecycle, support coaches, and collaborate with members, employers, and healthcare providers to deliver timely, well-informed case management. Strong English and French communication skills are essential.

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.
• Strong written and verbal communication to review and correct letters to claimants, providers, and partners.
• Solid knowledge of contract wording and ability to analyze disability management reports and medical information.
• Experience in training or coaching to communicate complex concepts clearly.
• Deep understanding of health care and insurance fields, accommodations, and return-to-work concepts.
• Bilingual English and French is required to collaborate with teams across Canada.

Responsibilities

• Initial claim decisions.
• Development of appropriate case management plans.
• Effective communication practices.
• Identify required support and monitor treatment progress.
• Coach and develop disability claim specialists and consultants.
• Increase and monitor quality of case management per protocol.
• Build relationships to support employee development and engagement.
• Review and correct disability management files and reports.
• Support collaboration with members, employers, and healthcare providers.

Skills

Disability coaching

Client communication

Cross-functional collaboration

Bilingual English/French

Education

University degree or college diploma

Job description

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.

Summary

As the Senior Disability Claims Consultant, you will provide quality and cost-effective coaching strategies designed to increase individual and organizational productivity. On a daily basis, you will provide development opportunities that enhance knowledge, develop skills and enrich Disability claims specialists and consultant’s capability. Success will be measured based on the development capacity of coachee’s to produce high-quality case management and performance. In this role, your coaching interventions will focus on short term and long-term disability case management processes. You will be responsible for monitoring, reviewing, and supporting all critical components of the case management lifecycle for your coaches, including:

What You Will Do

• 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

What You Need to Succeed

• 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.

Benefits and Perks

• Flexible work arrangements and emphasis on work-life balance
• 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
• 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: $82,648 to $91,831 CAD

#CBM1 #LI-VS1

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.

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds.

We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws.

We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

Full careers. Full lives.

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. 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.