Appeal Case Manager, Quality Assurance and Continuous Improvement-1

LifeWorks; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

TELUS Health is seeking a detail-oriented Quality Assurance professional to join the Quality Assurance and Continuous Improvement team. You will manage a high-volume appeal workflow across multiple union agreements, ensuring accuracy, privacy, and timely communications with employees, employers, and union representatives.

This role emphasizes process-driven case handling, collaboration with subject-matter experts, and delivering high-quality outcomes in a sensitive disability-management context.

Qualifications

• Ability to follow defined processes precisely and maintain accuracy in high-volume settings.
• Excellent written and verbal communication to diverse audiences.
• Empathy and professionalism in difficult conversations.
• Strong organizational and time management skills.
• Basic medical terminology knowledge for reviewing medical information.

Responsibilities

• Manage a high-volume of active appeal files with accuracy in a fast-paced environment.
• Follow defined appeal processes across five distinct union agreements with timelines.
• Engage with employees, employers, and union representatives to gather information and communicate status.
• Collaborate with Quality Assurance Advisors to document and share information within timelines while ensuring privacy.
• Review files transferred back from specialists for completeness before returning to employee or employer.
• Navigate multi-stakeholder situations with professionalism and confidentiality.

Skills

Process adherence

Attention to detail

Written & verbal comms

Empathy

Time management

Medical terminology basics

MS Office proficiency

Customer service mindset

Tools

MS Office

Job description

TELUS Health is empowering every person to live their healthiest life. Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individual to create the future of health. As a global-leading health and well-being provider – encompassing physical, mental and financial health – TELUS Health is improving health outcomes for consumers, patients, healthcare professionals, employers and employees.

Our team and what we’ll accomplish together

Join our Quality Assurance and Continuous Improvement team, where you’ll master a specialized and highly structured appeal process that requires precision, attention to detail, and genuine empathy. You’ll be the critical link in ensuring employees receive fair, timely, and accurate support during one of the most important processes in their disability management journey. Working alongside disability management experts, union representatives, and employers, you’ll navigate complex, multi-union agreements while maintaining the highest standards of accuracy and privacy. This is not a typical case management role—it’s a process-driven, specialized position where your organizational excellence and communication skills directly impact employee outcomes.

What You’ll Do

• Manage a high-volume of active appeal files while maintaining meticulous accuracy and attention to detail in a fast-paced environment

• Follow defined appeal processes precisely across five distinct union agreements, ensuring compliance with union-specific rules and timelines

• Engage proactively with employees, employers, and union representatives to gather updated functional information and provide clear communication about appeal status, next steps, and expectations

• Collaborate with Quality Assurance Advisors and subject matter experts to ensure all case information is accurately documented, properly shared within agreed timelines, and compliant with privacy regulations

• Review files transferred back from specialists and ensure all information is complete and correct before returning to the employee or employer, preventing delays and escalations

• Navigate complex, multi-stakeholder situations with professionalism and empathy, building rapport with individuals during challenging circumstances while maintaining strict confidentiality.

What You Bring

• Ability to follow defined processes precisely and consistently, with strong attention to detail and accuracy in a high-volume environment
• Excellent written and verbal communication skills, with the ability to explain complex information clearly to diverse audiences (employees, employers, union representatives)
• Demonstrated ability to handle difficult conversations with empathy, sensitivity, and professionalism while building rapport with individuals during challenging situations
• Strong organizational and time management skills, with proven ability to manage multiple active files and competing priorities in a fast-paced environment
• Basic knowledge of medical terminology and ability to review medical information at an entry level
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Customer service mindset with a commitment to accuracy, privacy, and delivering support during sensitive processes.

Great-to-Haves

• Previous experience in disability case management, benefits administration, or related customer-facing roles
• Bilingualism (French and English)
• Familiarity with union processes, collective agreements, or unionized work environments.

A bit about us

We’re a people-focused, customer-first, purpose-driven team who works together every day to innovate and do good. We improve lives through our technology solutions and foster a culture of innovation that empowers team members to solve complex problems and create remarkable human outcomes in a digital world.

TELUS is proud to foster an inclusive culture that embraces diversity. We are committed to fair employment practices and all qualified applicants will receive consideration for employment. We offer accommodation for applicants with disabilities, as required, during the recruitment process.

Disclaimer: In accordance with the TELUS Health Solutions Data Center Security Policy, as a condition of employment, all team members whose job functions require they work at a Data Center and/or have access to detailed knowledge of technology related to client service delivery, are subject to a Personnel Security Screening conducted through the Government of Canada.

Note for Quebec candidates: if knowledge of English is required for this position, it is because the team member will be asked, on a regular basis, to interact in English with external or internal parties or to use English applications or software as part of their tasks.

By applying to this role, you understand and agree that your information will be shared with the TELUS Group of Companies’ Talent Acquisition team(s) and/or any leader(s) who will be part of the selection process.