Disability Benefits Specialist, CPP/QPP

Medavie Inc.; City of Moncton; On-site; CAD 61,000 - 69,000; Full time

Benefits offered by this job

Health and dental benefits

Wellness benefits

Flexible work environment

Professional development opportunities

Job summary

Medavie Inc. in Canada is seeking a Disability Benefits Specialist, CPP/QPP, to coordinate and advance the integration of government disability benefit programs within disability management.

You will support referrals, applications, appeals, offsets, and follow-up activities while ensuring accurate administration and positive member outcomes. You will provide expert guidance to internal teams, contribute to process improvements, and maintain strong relationships with external organizations to

Qualifications

• Post-secondary diploma in administration, insurance, accounting, finance, or related field.
• 1–3 years experience in disability management, group insurance, claims administration, finance, or related field.
• Professional written and verbal communication skills to successfully partner and influence various stakeholders including the claimant.
• Strong organization and prioritization skills required to manage different type of tasks.
• Bilingual English/French required.

Responsibilities

• Manage QPP/CPP files following referrals by the Disability Case Specialist (referrals, applications, follow-ups, appeals, decisions).
• Initiate the process and support plan members with their applications.
• Complete the required follow-ups and ensure the process is completed.
• Communicate with plan members by phone and in writing to explain the impact of offsets.
• Advisory expertise for DCS, TLs and internal stakeholders.
• Act as a subject matter expert for QPP and CPP files.
• Provide expert guidance on complex cases and emerging practices related to government disability programs.
• Contribute to knowledge sharing and process enhancements across the organization.

Skills

Communication skills

Organization skills

Customer service

Analytical skills

Explain financial concepts

MS Office proficiency

Fineos (experience)

Bilingual English/French

Education

Post-secondary diploma in administration/insurance/finance

Tools

Fineos

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.

The Disability Benefits Specialist, CPP/QPP is a key contributor to the evolution and excellence of our disability management operations. The incumbent is responsible for coordinating, supporting and advancing the integration of government disability benefit programs, including QPP and CPP, within the disability management process. Through expert guidance, financial analysis, and member advocacy, this role delivers meaningful outcomes for members while contributing to operational excellence, continuous improvement, and sustainable business results. The role supports members through referrals, applications, appeals, benefit offsets and ongoing follow‑up activities while ensuring accurate administration and positive member outcomes. The position serves as a key resource for internal stakeholders and contributes to operational efficiency, financial results and continuous improvement initiatives through the effective coordination of government disability benefit programs.

What You’ll Do

• Full management of QPP/CPP files following referral by the Disability Case Specialist (referrals, applications, follow‑ups, appeals, decisions).
• Initiate the process and support plan members with their application.
• Complete the required follow‑ups and ensure the process is completed.
• Communicate with plan members by phone and in writing to explain the impact of offsets.
• Advisory expertise for DCS, TLs and internal stakeholders.
• Act as a subject matter expert for QPP and CPP files.
• Provide expert guidance on complex cases and emerging practices related to government disability programs.
• Contribute to knowledge sharing, process enhancements, and operational best practices across the organization.
• Follow up on files.
• Provide status updates.
• Financial analysis and application of offsets.
• Determine the amount of the QPP/CPP retroactive payment.
• Initiate recovery steps with QPP/CPP.
• Communicate the impact of QPP/CPP approval to the plan member.
• Enter the necessary information in the systems to ensure file continuity.
• Ensure calculation accuracy and compliance with contracts.
• Enter data into the systems to apply offsets.
• Relationships with external organizations and resolution of complex files.
• Call QPP/CPP to understand timelines and decisions.
• Ensure that QPP/CPP has all the necessary information and documentation to make a decision, particularly in cases of refusal by QPP/CPP.
• Process refusal decisions and support the insured person in initiating the appeal of the decision.
• Identify opportunities to improve processes, member experience, and operational effectiveness.
• Participate in initiatives that support innovation, quality, and the ongoing evolution of disability management practices.

What You Bring

• Post‑secondary diploma in administration, insurance, accounting, finance, or another related field.
• 1‑3 years of experience in disability management, group insurance, claims administration, finance, or a related field.
• Experience in finance or accounting.
• Professional written and verbal communication skills to successfully partner and influence various stakeholders including the claimant.
• Strong organization and prioritization skills required to manage different type of tasks.
• Excellent customer service and telephone skills with the ability to communicate complex and difficult information clearly with tact and sensitivity. At ease with both incoming and outgoing calls.
• Strong analytical skills, excellent problem‑solving abilities and can work with minimum supervision.
• Strong knowledge of government disability benefit programs, including QPP and CPP, or the ability to develop expertise quickly in a specialized environment.
• Analytical ability and attention to detail.
• Ability and confidence in explaining financial concepts.
• Customer focus and ability to manage multiple priorities.
• Proficient keyboarding and technical aptitude in Microsoft Office.
• Experience working with an electronic case management system, such as Fineos is considered an asset.
• Bilingualism (English/French) is required for this position.

What’s in It for You

• A purpose‑driven organization dedicated to improving the wellbeing of Canadians.
• A comprehensive benefits plan, including health and dental coverage that is 100% employer paid from day one, plus wellness benefits, health resources, and fitness center discounts.
• A flexible work environment that supports work–life balance and empowers employees to thrive.
• Robust professional development opportunities, including leadership programs, ongoing learning, and career growth pathways.
• A collaborative and inclusive culture where your expertise is valued, your voice matters, and your contributions help shape our product strategy.

Pay Range: 61,221 - 68,873 CAD 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. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs.

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.

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.