Bilingual Senior Disability Claims Consultant

Medavie; United States; Remote; USD 58,000 - 65,000; Full time

Benefits offered by this job

Flexible work arrangements

Comprehensive health, vision andDental

Defined Contribution Pension Plan

Annual Incentive Bonus

Paid vacation and Vacation Purchase

Wellness benefits and fitness center

Career growth opportunities

Job summary

Medavie is seeking a Senior Disability Claims Consultant to provide coaching that boosts knowledge and capability in disability case management. You will work with disability claim specialists and consultants to improve quality, ensure timely case management, and support collaboration with members, employers, and healthcare providers.

The role emphasizes development opportunities, effective communication, and management of highly complex claims, with a focus on short- and long-term disability

Qualifications

• University degree or college diploma in a relevant discipline.
• At least 5 years’ experience in disability case management with another insurer or government agency managing short- and long-term disability claims.
• Demonstrated written and verbal communication skills to successfully review and correct various communications, interview and decision letters to claimants, providers, physicians, employers, group administrators, human resources, and lawyers.
• Demonstrated strong knowledge of contract wording, with the ability to thoroughly analyze disability management trend reports, medical reports, and other available tools (e.g., Independent Medical Exams, Functional Capacity Evaluations, surveillance, and medical consultant reviews).
• Background in training or coaching to communicate complex concepts clearly with logic, tact and sensitivity.
• Deep understanding of health care and insurance fields, health-related terminology, concepts of accommodation and return to work.
• Bilingualism (English and French) is required to perform the duties of the role.

Responsibilities

• Coach and develop disability claim specialists and consultants.
• Increase and monitor quality of case management according to the active case management protocol.
• Build effective relationships to support development and engagement of employees.
• Review and correct Disability management files and reports.
• Manage action plan and decision (or provide recommendation) on highly complex disability claims.

Skills

Bilingual English/French

Written & verbal communication

Education

University degree or college diploma in a relevant discipline

Job description

Position Type:

Permanent

If you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place.

As a national health solutions partner, we put people first in everything we do — and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.

Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest — and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.

Summary

As the Senior Disability Claims Consultant, you will provide quality and cost-effective coaching strategies designed to increase individual and organizational productivity.

On a daily basis, you will provide development opportunities that enhance knowledge, develop skills and enrich Disability claims specialists and consultant’s capability. Success will be measured based on the development capacity of coachee’s to produce high-quality case management and performance.

In this role, your coaching interventions will focus on short term and long-term disability case management processes. You will be responsible for monitoring, reviewing, and supporting all critical components of the case management lifecycle for your coaches, including:

• Initial claim decisions
• Development of appropriate case management plans
• Effective communication practices
• Key milestones (e.g., COD, CPPD, etc.)
• Identification of required support
• Monitoring treatment progress and plan outcomes

You will also support collaboration with members, employers, and healthcare providers to ensure timely, well informed, and effective case management practices.

What You Will Do :

• Coach and develop disability claim specialists and consultants

• Increase and monitor quality of case management according to the active case management protocol

• Build effective relationships to support development and engagement of employees

• Review and correct Disability management files and reports

• Manage action plan and decision (or provide recommendation) on highly complex disability claims

What You Need to Succeed :

• University degree or college diploma in a relevant discipline
• At least 5 years’ experience in disability case management with another insurer or government agency managing short- and long-term disability claims
• Demonstrated written and verbal communication skills to successfully review and correct various communications, interview and decision letters to claimants, providers, physicians, employers, group administrators, human resources, and lawyers.
• Demonstrated strong knowledge of contract wording, with the ability to thoroughly analyze disability management trend reports, medical reports, and other available tools (e.g., Independent Medical Exams, Functional Capacity Evaluations, surveillance, and medical consultant reviews).
• Background in training or in coaching in order to communicate complex and difficult concepts clearly with logic, tact and sensitivity will be considered as a strong asset)
• A deep understanding of the health care and insurance fields, health-related terminology, concepts of accommodation and return to work
• Bilingualism (English and French) is required to perform the duties of the role, which include daily collaboration with teams and partners in Canada who operate in both languages.

We’ve got you covered!

• Flexible work arrangements and emphasis on work-life balance
• Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day
• 100% employer-matched Defined Contribution Pension Plan
• Annual Incentive Bonus which recognizes your contribution to our success
• Paid vacation and additional Vacation Purchase Program
• Wellness benefits, health resources and fitness center discounts
• Career Growth: We offer a career path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie.

#CBM1#LI-VS1

Pay Range : $82,648 to $91,831 CAD

This posting is for an existing vacancy within our organization / Ce poste est actuellement vacant au sein de notre organisation.

Pay Range:

73465 - 82648 CAD

The Base Pay range may vary depending on the successful candidate or other relevant job-related factors such as knowledge, skills, qualifications, experience and education/training. In addition to Base Pay, eligible Medavie employees may participate in various performance-based incentive programs. Payments under these programs are discretionary and subject to both individual and organizational results.

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws_._. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

While Medavie may use automated tools, including AI, to support application screening, candidates are expected to complete all recruitment interactions independently—without AI assistance—to ensure a fair and equitable process.

If you experience any technical issues throughout the application process, please email: [e-mail].