Senior Litigation Claim Consultant

Manulife Financial; Ontario; Remote; CAD 70,000 - 90,000; Full time

Job summary

A leading company in Canada is seeking a Disability Litigation Claim Consultant to manage and resolve disability insurance claims that have escalated to litigation. The role involves collaboration with legal teams, claimants, and medical professionals while ensuring compliance with relevant laws and regulations. You will analyze complex information, negotiate settlements, and maintain thorough documentation to minimize legal risks and financial exposure for the company.

Benefits

Opportunities for learning and career growth

Flexible, inclusive work environment

Qualifications

• 3-5 years of experience in disability insurance claims management.
• Strong understanding of disability policies, medical terminology, and legal procedures.
• Meticulous review and analysis skills.

Responsibilities

• Manage disability claims that have progressed to litigation.
• Review medical records and collaborate with legal counsel for settlements.
• Maintain detailed records and ensure compliance with laws and company policies.

Skills

Analytical skills

Negotiation skills

Communication skills

Education

Bachelor’s degree in Law, Business, Healthcare, or related field

Tools

Claims management software

Job description

A Disability Litigation Claim Consultant partners with Legal teams to manage and resolve disability insurance claims that have escalated to litigation. This role involves collaborating with legal teams, claimants, medical professionals, and other stakeholders to ensure claims are handled efficiently, fairly, and in compliance with relevant laws and regulations. The role works closely with Legal Counsel to analyze complex medical and legal information, develop strategies for claim resolution, and represent the insurance company in negotiations and court proceedings. The position is crucial in ensuring fair and effective resolution of disability claims while minimizing legal risks and financial exposure for the company. Candidates across Canada will be considered.

Position Responsibilities:

1. Claim Management: Handle a caseload of disability claims that have progressed to litigation, ensuring timely and accurate processing.

2. Medical Analysis: Review and interpret medical records, reports, and documentation to assess claims.

3. Negotiation: Collaborate with Legal Counsel to negotiate settlements with claimants, attorneys, and other parties to resolve claims fairly.

4. Documentation: Maintain detailed records of all claim activities, correspondence, and legal documents.

5. Compliance: Ensure claim handling practices adhere to company policies, industry standards, and legal requirements.

6. Communication: Serve as the primary contact for Plan Sponsors and Claims Staff during litigation.

7. Reporting: Prepare reports on claim statuses, litigation outcomes, and relevant metrics for management and stakeholders.

8. Risk Assessment: Identify risks and develop mitigation strategies, including policy and procedure recommendations.

9. Training and Development: Stay updated on industry trends, legal developments, and best practices.

10. Support Operations: Provide complex claim support related to subrogation, arbitration, power of attorney, and human rights cases in collaboration with the Legal Department.

Required Qualifications:

1. 3-5 years of experience in disability insurance claims management.

2. Strong understanding of disability policies, medical terminology, and legal procedures.

3. Excellent analytical, negotiation, and communication skills. Proficiency in claims management software and relevant tools.

Preferred Qualifications:

1. Bachelor’s degree in Law, Business, Healthcare, or related field (asset).

2. Relevant certifications in insurance, legal, or healthcare fields (advantageous).

3. Meticulous review and analysis skills.

4. Strong problem-solving skills for litigation strategies and claim resolution.

5. Interpersonal skills to build positive relationships with claimants and stakeholders.

6. Organizational skills to manage multiple claims and deadlines.

7. High integrity and ethical judgment for handling sensitive information.

What We Offer:

• Opportunities for learning and career growth.
• A flexible, inclusive work environment supporting well-being.
• Support in shaping your future as part of our global team.