Disability Case Manager (EN / FR)

IA Financial Services; Toronto; On-site; CAD 60,000 - 80,000; Full time

Job summary

iA Financial Services is seeking a Case Manager for Group Life and Disability Claims. The role involves assessing disability claims, developing case management plans, and collaborating with healthcare professionals to facilitate a smooth return to work for participants. Candidates should have a background in health professions or human resources and possess strong organizational and analytical skills. A commitment to diversity and inclusion is at the core of the company's values.

Benefits

Diversity and inclusion initiatives

Support for employee development

Qualifications

• 4-5 years of relevant experience in case management or related fields.
• Ability to manage difficult calls and handle multiple deadlines.

Responsibilities

• Process long-term disability claims and determine participant eligibility.
• Develop and execute a case management plan for each claim.
• Identify non-medical factors influencing disability duration and facilitate return to work.

Skills

Organizational skills

Analytical skills

Problem-solving skills

Bilingual (English and French)

Education

Post-secondary education in health professions or human resources

Job description

iA Financial Group is the fourth largest life and health insurance company in Canada, offering a wide range of products for all life stages to meet the needs of clients across its extensive sales network.

Founded in 1892, iA Financial Group's stability and solidity make it an employer of choice that invests in its employees and their development over the long term.

Description

Reporting to the Manager of Group Life and Disability Claims, you will be responsible for processing long-term disability claims to determine participant eligibility for benefits, relying on medical reports and related policies and procedures. The Case Manager must develop a case management plan for each claim.

• Assess disability claims via telephone to determine benefits eligibility, considering medical information and contractual provisions.
• Conduct detailed telephone interviews to gather pertinent medical and non-medical information.
• Develop and execute a case management plan
• Identify non-medical factors and functional limitations influencing disability duration and facilitate return to work in collaboration with a rehabilitation team.
• Determine gradual return-to-work plans in collaboration with physicians, participants, and policyholders as needed.
• Communicate with policyholders, participants, healthcare professionals, service providers, and government entities via email, phone, and fax.
• Manage difficult calls with dissatisfied or irate callers due to benefit eligibility decisions.
• Maintain participant files in the system.

Commitment to Service

Actively manage disability claims using all available resources, including IMEs. Attend meetings with clients and suppliers, and assist with special projects.

Qualifications

• Post-secondary education in health professions, human resources, or related fields, with 4-5 years of relevant experience.
• Strong organizational, analytical, and problem-solving skills, with the ability to work independently.
• Positive attitude, adaptability, and ability to handle multiple deadlines in a fast-paced environment.
• Knowledge of occupational health and safety, medical terminology, and proficiency in English and French.

Team Environment & Diversity

Ability to work effectively in a multifunctional team. iA Financial Group is committed to diversity and inclusion, providing accommodations in recruitment processes as needed.

Location & Company Overview

Locations vary; the company employs over 8,000 people, serving more than four million clients with assets exceeding $200 billion. With a focus on innovation and employee support, iA Financial Group has been a leader in the industry for over 125 years.

Our Commitment

We promote diversity and inclusion, ensuring an accessible recruitment process for applicants with disabilities. Contact us for assistance if needed.

Required Experience & Skills

• Managerial experience
• Skills in project portfolio management, motivational interviewing, HIPAA, case management, conflict management, team management, program development, social work, addiction counseling, and related areas.