Concurrent Disability Case Manager

LifeWorks; Oklahoma; On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Accommodations during recruitment

Job summary

TELUS Health is seeking a Concurrent Disability Case Manager to oversee STD and leave claims, including FMLA and state leaves. You will evaluate eligibility, communicate with clients, and coordinate with health professionals to ensure accurate determinations.

The role requires at least 3 years of direct disability case management experience, strong regulatory knowledge, and exceptional interpersonal skills to protect privacy and build trust with stakeholders.

Qualifications

• 3+ years of direct experience managing Leaves and STD disability case management.
• Strong understanding of FMLA and state leave laws.
• Ability to review medical documentation and interpret medical information.
• Excellent communication, confidentiality, and empathy in handling sensitive data.

Responsibilities

• Oversee, manage, process, and adjudicate STD, FMLA, State and company-specific leave claims.
• Assess eligibility based on regulations and communicate with clients throughout the lifecycle.
• Address barriers to return-to-work and coordinate with stakeholders for solutions.
• Inform claimants of documentation needs, timelines, and status updates.
• Collaborate with nurses and physicians to validate medical information for claims.

Skills

Leaves management

Regulatory knowledge

Medical literacy

Communication skills

Problem solving

Education

Bachelor's degree preferred

Tools

Case management software

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.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. Employees can be absent from work for a variety of reasons: casual absence, work-related illness and/or injury, or health issues requiring the employee to be away from the workplace for an extended period. Our absence management program helps employers strategically manage those absences- focusing on reducing overall costs, realizing administrative efficiency, and enhancing support for employees and employers. All with the goal of returning employees to health and productivity.

The Concurrent Disability Case Manager will oversee, manage, process, and adjudicate Short-Term Disability (STD) claims and leave requests (FMLA, State, and company-specific). This position is responsible for evaluating eligibility based on federal, state, and plan-specific regulations, communicating clearly with clients and claimants throughout the claims lifecycle, and ensuring ongoing case management adheres to company best practices and client-specific workflows.

The case manager assesses any barriers to a successful and timely return-to-work and engages with stakeholders to implement strategies to address those identified barriers and support return to work or an appropriate alternative plan.

Manage and process FMLA (and other Federal leaves as applicable), Military, State leaves; company specific leave claims as well as STD claims.

Conduct case assessments, contact the employee and their client contacts, by telephone, email or adhoc meetings, to explain the leave management process, employee accountabilities, and gather information for assessment purposes.

Develop and document an understanding of the situation and the factors supporting, as well as inhibiting, a successful return to work for the employee.

Review all relevant information and consult with appropriate resources as required (e.g. health professionals, supervisory team, external vendors) to confirm decision (approved / denied) recommendation on FMLA, State, Company specific leaves and STD cases.

Analyzes medical certifications and other medical documentation and claim determination adheres to the required regulatory compliance timeframes as well as applicable STD policies undefined

Informs STD claimants of any documentation needed to process a claim, timeframe requirements, claim status (e.g. STD approvals, denials, and consults), or any other information necessary to manage a claim.

as well as provide active support for the return-to work planning process between the employee and their client contact and intervene when necessary.

Act as the primary case contact and will communicate proactively and continuously with the employer’s representative(s) regarding any case management matters that may be required through the life of claim.

Attend Case Management and Disability Management department team meetings and training as required.

Other projects and tasks as assigned

Minimum 3+ years of direct experience managing Leaves and STD disability case management.

Computer skills and the ability to work primarily online in a paperless environment.

Strong interpersonal and helping skills along with assessment and problem-solving skills.

Regulatory Expertise : Deep understanding FMLA, state specific leave laws

Company policies and plans : Experience in managing self-insured Short Term Disability (STD) Plans as well as company specific paid and unpaid leave policies.

Medical Literacy : Ability to review and interpret medical documentation and

Communication : Exceptional conflict resolution and negotiation skills, with the ability to handle sensitive medical information with extreme confidentiality and empathy.

US Disability Case Managers : peer to peer support and review of claims and client processes.

Medical Providers : Regular interaction with nurses and physicians to validate documentation provided to appropriately review the case against policies and STD plans.

Collaborating with client-side leadership on a continual basis via telephone, email and meetings, as needed.

Service Delivery Managers : Maintaining constant communication to ensure client satisfaction and operational efficiency.

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 Health is an Equal Opportunity Employer that aims to foster an inclusive culture that embraces diversity. It is our policy to hire without regard to race, color, creed, religion, national origin, citizenship status, sex, marital status, age, disability, sexual orientation or veteran status.We offer accommodation for applicants with disabilities, as required, during the recruitment process.