Claims Specialist

HEB Manitoba; Winnipeg; Hybrid; CAD 60,000 - 85,000; Full time

Benefits offered by this job

Hybrid work environment

Defined benefit pension plan

Downtown Winnipeg location

Job summary

HEB Manitoba is seeking a motivated professional for the Disability & Rehabilitation department to support members through Long-Term Disability claims with a focus on equitable and timely decisions. The role emphasizes critical thinking, empathy, and effective collaboration within a multidisciplinary team.

You will navigate complex medical information, benefits provisions, and job duties to determine eligibility and apply plan offsets.

Qualifications

• Bachelor's degree or equivalent combination of education/experience in relevant health or social services fields.
• Minimum of 3 years of disability claims management experience.
• Pursuing CDMP certification is preferred.

Responsibilities

• Make Long-Term Disability claim decisions by evaluating eligibility, medical data, job duties, and plans provisions.
• Guide and support members through the LTD claims process with compassion and sound judgment.
• Apply medical knowledge and critical thinking to assess claim information and reach decisions.
• Proactively manage an assigned caseload within turnaround times using multiple communication methods.
• Build relationships with members and stakeholders to facilitate timely resolutions.
• Clearly communicate difficult decisions with empathy and clarity.
• Continuously learn about departmental activities and disability management practices.

Skills

Analytical thinking

Critical thinking

Sound judgment

Interpersonal skills

Digital literacy

Prioritization

Verbal communication

Written communication

Team collaboration

Education

Bachelor's degree

CDMP pursuit

Job description

Help us serve 100,000 of Manitoba’s healthcare professionals.We are HEB Manitoba, one of the largest pension and benefit plans in the province.

At HEB Manitoba, our Disability & Rehabilitation (D&R) department takes a supportive and proactive approach to providing industry-leading service to our members.

We are seeking a highly motivated professional who is knowledgeable in the case management of long-term disability claims and rehabilitation practices to assist our members through a positive, streamlined process.Our organization requires an innovative and adaptable individual who is ready to make a difference with us.

If you thrive in a dynamic environment, have a strong work ethic, positive attitude and enjoy working with a dedicated multidisciplinary team, the Claims Specialist position is the opportunity you are looking for.

Join us in making a difference in lives of others:

Your responsibilities will include:

• Make Long-Term Disability claim decisions by determining eligibility, reviewing medical information, job duties, treatment plans, and applying benefit offsets in accordance with Plan provisions.
• Guiding and supporting members through the Long-Term Disability claims process with compassion, sound judgment, and effective claims management practices.
• Apply critical thinking and medical knowledge to assess claim information and make sound decisions.
• Proactively managing an assigned caseload within turnaround times using a variety of communication methods.
• Building relationships with our members and stakeholders.
• Communicating sensitive and difficult decisions clearly and with empathy.
• Continuously developing your knowledge of departmental activities, disability management practices, and processes.

Qualifications for Your Success:

Experience & Education

• Post-Secondary Degree/Diploma – Bachelor of Arts, Nursing, Allied Health, Science, Social Work.
• A minimum of three years’ experience applying current and emerging disability claims management practices, procedures, and standards (disability case management).
• Pursuing the Certified Disability Management Professional (CDMP).

*An equivalent combination of education and/or experience may be considered.

• Strong analytical, critical-thinking, sound judgment, and decision-making skills.
• Effective interpersonal skills with the ability to develop professional and collaborative relationships.
• Strong digital literacy, with the ability to quickly learn and effectively navigate multiple systems and technology platforms.
• Ability to effectively prioritize and manage multiple tasks and competing demands while meeting deadlines and maintaining accuracy.
• Clear and effective verbal and written communication skills.
• Proven ability to work independently and collaboratively within a team environment.

Why join our team?

The work you do will be challenging and rewarding. You will make a difference in our day-to-day operations and your initiative will be appreciated.

We offer:

• Hybrid work environment with a compressed workweek for your work/life balance.
• Comprehensive compensation and benefits including a defined benefit pension plan.
• Progressive and supportive work environment.
• A comfortable, modern environment conveniently located in downtown Winnipeg with easy access to shopping and restaurants.