High-Volume Disability Appeals Specialist

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 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.