Disability Case Manager II

Socket.dev; Toronto; On-site; CAD 61,000 - 101,000; Full time

Job summary

CLIC is seeking a Disability Case Manager II to adjudicate and manage disability claims of varying complexity. You will assess eligibility, develop case plans, and coordinate interventions to minimize claim duration while communicating with claimants, employers, physicians, and third parties.

The role offers hybrid work (2 days in office) and requires strong collaboration, critical thinking, and a patient-centered approach to help clients return to work.

Qualifications

• Post secondary degree in Kinesiology, Psychology, Disability Management or related discipline (asset).
• ALHC designation is an asset.
• 3-5 years related experience.

Responsibilities

• Review all documentation received including application forms, medical information, employment information and items from other insurers.
• Triage claims to assess rehabilitation potential and develop case management plans.
• Interview claimants and employers by telephone prior to making claim decisions.
• Proactively manage claims to minimize disability periods and return claimants to work.
• Utilize available resources to ensure appropriate diagnosis and treatment.
• Ensure compliance with recommendations and rehabilitation interventions.
• Initiate assessments such as independent medical examinations, functional capacity examinations or surveillance.
• Maintain clear and comprehensive ongoing written and verbal communication with all parties.

Skills

Communication skills

Critical thinking

Team player

Education

Post secondary degree in Kinesiology, Psychology, Disability Management or related discipline

ALHC designation (asset)

Job description

Company: CLIC
Department: Claims
Employment Type: Regular Full-Time
Work Model: Hybrid (2 days in office)
Language: This role operates in English.
Additional Information: This/these role(s) is/are currently vacant

The Opportunity:

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities.

The Disability Case Manager II adjudicates and independently manages early intervention, short term and/or long-term disability claims including claims of a complex nature. This involves assessing eligibility for disability benefits, developing case management plans, initiating and implementing interventions to minimize claim durations and calculating, authorizing and issuing disability benefits. This requires communication with claimants, employers, third party treatment providers and physicians, as well as lawyers, third party administrators and brokers.

How you will create impact:

• Review all documentation received including application forms, medical information, employment information and items from other insurers such as WCB and motor vehicle carriers.
• Triage claims as necessary to assess rehabilitation potential and to develop case management plans.
• Interview claimants and employers by telephone prior to making claim decisions.
• Proactively manage claims with the objective of minimizing disability periods and successfully returning claimants to work.
• Utilize the available resources to ensure appropriate diagnosis and treatment.
• Ensure compliance with recommendations and participation with rehabilitation interventions.
• Initiate assessments such as independent medical examinations, functional capacity examinations or surveillance when necessary.
• Clear and comprehensive ongoing written and verbal communication with claimants, employers, physicians, treatment providers, internal staff, brokers, third party administrators, lawyers and other parties such as WCB and CPP.

To join our team:

• Post secondary degree in Kinesiology, Psychology, Disability Management or a related discipline an asset.
• Associate, Life and Health Claims (ALHC) designation an asset.
• 3-5 years related experience.

How you will succeed:

• You influence change and are committed to continuous improvement, in order to exceed client expectations.
• You leverage critical thinking skills to identify problems and proactively propose solutions.
• Your strong communication skills allow you to clearly convey messages.
• You’re an effective team player who shares knowledge to support our peers.

What you need to know:

• You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

What’s in it for you?

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

Expected salary range $60,574 - $100,956

The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.