Senior Disability Case Manager

Wawanesa Insurance; Winnipeg, Vancouver, Calgary, Edmonton; Hybrid; CAD 70,000 - 80,000; Full time

Job summary

The Wawanesa Mutual Insurance Company is seeking a Disability Claims Specialist to own complex short‑term, long‑term, and disability income files across its group and individual business lines. You will handle escalations, complaints, litigation, and work with internal and external stakeholders to move cases forward with care and sound judgment.

Qualified candidates typically have 3–5 years in disability case management, strong MS Office skills, and a solid ability to interpret contract

Qualifications

• 3–5 years experience in disability case management
• Post-secondary degree/diploma in medical or related field preferred
• Demonstrated advanced skills with Microsoft Office, including Excel and SharePoint
• Excellent ability to interpret and apply contract wordings
• Strong deadline and time management
• Strong organizational and prioritization skills while maintaining service standards
• Demonstrated customer service orientation with empathetic approach
• Strong attention to detail with ability to identify relevant information and impacts
• Strong communication and negotiation skills for internal and external stakeholders
• Ability to handle sensitive information with confidentiality guidelines/legislation
• Proficiency in both languages (English and French) is an asset

Responsibilities

• Review, assess and render decisions on disability and other claims through development of claims management strategies.
• Conduct complex investigations on existing case files as required.
• Collaborate with clients, claimants, reinsurers, medical practitioners and providers to obtain documentation and updates.
• Review complex policy wordings to ensure decisions are within the policy scope.
• Communicate decisions verbally and in writing in a clear and courteous manner.
• Address claims escalations, complaints, and/or litigation to a successful resolution.
• Coordinate rehabilitation and other services to assist with return to work with complex providers.
• Maintain records of workload and claims adjudication.
• Respond to claimant inquiries within company service standards.
• Perform other duties as assigned

Skills

Disability claims

Microsoft Office

Excel

SharePoint

Policy interpretation

Time management

Attention to detail

Communication

Confidentiality

Bilingual (English/French)

Education

Post-secondary degree/diploma in medical or related field

Tools

Microsoft Office

Excel

SharePoint

Job description

Employment Type: Existing Role

Work Environment: We offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations: Winnipeg, MB; Wawanesa, MB; Vancouver, BC; Calgary, AB; Edmonton, AB; Lethbridge, AB; Toronto (North York), ON; Kitchener, ON; Ottawa, ON; Montreal, QC; Quebec City, QC, Moncton, NB; Dartmouth; NS.

Working Business Language: English. This role is considered a head-office role and will be required to communicate with internal stakeholders across Canada where the primary business language utilized is English.

Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan.

The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary offered is estimated to be within the following range: $70,000 - $80,000. Candidates with salary expectations outside of the range are still encouraged to apply.

About The Wawanesa Mutual Insurance Company Founded in 1896, The Wawanesa Mutual Insurance Company is one of Canada’s largest mutual insurers, fully owned by its more than 1.8 million members. Headquartered in Winnipeg, Wawanesa is the parent company of WSI™, a specialty insurer delivering tailored solutions built around unique needs; Wawanesa Life, a provider of life insurance products; and Western Financial Group, a leading national distributor of personal and commercial insurance.

Wawanesa is committed to helping communities thrive in a changing world. The company invests more than $4 million annually in charitable initiatives, including $2.5 million each year to support people and communities on the front lines of climate change. Learn more at wawanesa.com.

We are currently seeking dedicated, driven, and enthusiastic individuals who thrive in a dynamic environment, embrace change, and are eager to gain diverse experience while advancing their careers as part of a growing team.

JOB OVERVIEW

We are growing and building our Claims team, creating an exciting opportunity to bring your disability claims expertise to Wawanesa. In this role, you’ll take ownership of complex Short-Term Disability, Long-Term Disability, and/or Disability Income claims across our Group and Individual business, helping drive great outcomes for our customers and supporting Wawanesa’s continued success. You’ll bring your expertise to high-impact files, including escalations, complaints, litigation, and other sensitive or complex claims matters, partnering with internal teams and external stakeholders to move cases forward with care, clarity, and sound judgment.

Job Responsibilities

• Review, assess and render decisions on disability and other claims through the development of claims management strategies to bring claims to succession resolutions.
• Conduct complex investigations as required on existing case files.
• Collaborate with clients and claimants, reinsurers, medical practitioners and providers to obtain claims documentation, provide updates as to claims status and respond to inquiries.
• Review complex and differing policy wordings to ensure decisions are made within the policy’s scope.
• Communicate decisions verbally and in writing in an effective and courteous manner.
• Address claims escalations, complaints, and/or claims litigation to a successful resolution.
• Coordinate rehabilitation and other services to assist with successful return to work, including complex programs with multiple providers.
• Maintain records of individual workload and claims adjudication.
• Respond to claimant or other inquiries within company service standards.
• Will perform other duties as assigned.

QUALIFICATIONS

• 3 – 5 years experience working in a Disability Case Management position.
• Post-secondary degree/diploma in a medical or related field preferred.
• Demonstrated advanced skills with Microsoft Office, including Excel and Sharepoint.
• Excellent ability to interpret and apply contract wordings.
• Strong deadline and time management.
• Strong organizational and prioritization skills while maintaining service standards.
• Demonstrated customer service orientation, with empathetic approach.
• Strong attention to detail with the ability to identify relevant information and potential impacts.
• Strong communication and negotiation skills, with the ability to communicate at the right level for the intended audience, including internal and external customers through written or verbal communication.
• Ability to handle sensitive information while following confidentiality guidelines/legislation.
• Proficiency in both languages (English and French) is an asset.

Diversity Equity, Inclusion& Belonging

At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people – this is supported by having a representative workforce.

We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender-diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas.

We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to [e-mail] [[e-mail]].

All Wawanesa job applicants are subject to Wawanesa's Privacy Policy [https://www.wawanesa.com/canada/pip/employee-privacy-policy].

Please note that the recruitment process for this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation.

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