Senior Disability Case Manager - Bilingual (hybrid or flexible)

Wawanesa Insurance; United States; Hybrid; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Senior Disability Case Manager to oversee complex disability claims in a flexible work environment. This role offers the opportunity to work remotely or in a hybrid setup, allowing you to choose your preferred working style. You will be responsible for managing escalated claims, collaborating with various stakeholders, and ensuring timely and effective resolutions. Join a company that values diversity and provides a rewarding environment with competitive compensation packages, generous vacation allowances, and a commitment to employee development. If you thrive in dynamic settings and are passionate about making a difference, this opportunity is perfect for you.

Benefits

Generous vacation allowance

Annual bonus plan

Premium free benefits

Pension plan

Flexible working environment

Qualifications

• 5+ years of case management experience is preferred.
• Strong communication and negotiation skills are essential.

Responsibilities

• Manage complex Short-Term and Long-Term Disability claims.
• Collaborate with clients and medical practitioners for claim resolutions.
• Conduct investigations and communicate decisions effectively.

Skills

Case Management

Communication Skills

Negotiation Skills

Attention to Detail

Time Management

Education

Post-secondary degree/diploma in a medical or related field

Completion of Case Management or NIDMAR courses

Tools

Microsoft Office Suite

Excel

SharePoint

Job description

Senior Disability Case Manager (remote or hybrid or flexible)

Pay Competitive

Location Remote

Employment type Full-Time

Job Description

• Req#: 6543
• Job ID: 6543
• Working Business Language: English

We’re proud to give our employees the flexibility to choose how and where they want to work. In this role, you can decide whether your preference is to work from home (remote), work from the office or a hybrid of time spent at both. You may work from any of the following locations: British Columbia, Alberta, Saskatchewan, Manitoba, Ontario, Quebec, New Brunswick, Nova Scotia, Prince Edward Island, Newfoundland & Labrador and/or the Yukon.

The Wawanesa Mutual Insurance Company, founded in 1896, is one of Canada’s largest mutual insurers, with over $4 billion in annual revenue and assets of $12 billion. Wawanesa Mutual, with executive offices in Winnipeg, is the parent company of Wawanesa General, which offers property and casualty insurance in California and Oregon; Wawanesa Life, which provides life insurance products and services throughout Canada; and Western Financial Group, which distributes personal and business insurance across Canada. Wawanesa proudly serves more than two million members in Canada and the United States. Wawanesa actively gives back to organizations that strengthen communities where it operates, donating well above internationally recognized benchmarks for excellence in corporate philanthropy. Learn more at wawanesa.com

We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.

Job Overview

Working under minimal supervision, this role supports Wawanesa’s success through the ongoing case management of complex Short-Term Disability, Long-Term Disability, and/or Disability Income claims for Group & Individual business. This role is responsible for escalated claims, complaints, litigation, and other complex claims issues.

Job Responsibilities

• Review, assess and render decisions on disability and other claims through the development of claims management strategies to bring claims to succession resolutions.
• Conduct complex investigations as required on existing case files.
• Collaborate with clients and claimants, reinsurers, medical practitioners and providers to obtain claims documentation, provide updates as to claims status and respond to inquiries.
• Review complex and differing policy wordings to ensure decisions are made within the policy’s scope.
• Communicate decisions verbally and in writing in an effective and courteous manner.
• Address claims escalations, complaints, and/or claims litigation to a successful resolution.
• Coordinate rehabilitation and other services to assist with successful return to work, including complex programs with multiple providers.
• Maintain records of individual workload and claims adjudication.
• Respond to claimant or other inquiries within company service standards.
• Will perform other duties as assigned.

Qualifications

• Post-secondary degree/diploma in a medical or related field, or an equivalent combination of education and experience is required.
• Minimum five (5) years’ case management or related experience is an asset.
• Good communication skills both written and spoken.
• Actively working towards or completion of Case Management or NIDMAR courses is considered an asset.
• Excellent computer skills and knowledge of the Microsoft Office suite is required, including the ability to perform complex calculations using Excel or otherwise.
• Good working knowledge of SharePoint is considered an asset.
• Excellent ability to interpret and apply contract wordings.
• Strong time management and organizational skills with the ability to establish priorities among competing deadlines while maintaining service standards.
• Strong attention to detail with the ability to identify relevant information and potential impacts.
• Strong communication and negotiation skills, with the ability to communicate at the right level for the intended audience, including internal and external customers through written or verbal communication.
• Ability to handle sensitive information while following confidentiality guidelines/legislation.

#LI-Remote

Wawanesa is proud to be one of Manitoba's Top Employers for 2023 recognizing that we are an exceptional place to work!

Wawanesa provides its employees with a respectful, challenging and rewarding environment where they can maximize their potential while contributing to the company’s goals. Our full-time permanent employees are provided with highly competitive compensation packages (salaries, generous vacation allowance, leave top up, annual bonus plan, premium free benefits and a pension plan). Wawanesa provides a stable environment for its employees in today’s challenging markets.

Wawanesa is an equal opportunity employer and is committed to fostering a diverse workforce that is equitable and inclusive for all. Wawanesa provides equal employment opportunity to all employees and applicants without regard to an individual’s protected status: race/ethnicity, colour, religion, creed, sex or gender, sexual orientation, gender identity or expression, family or marital status, pregnancy/childbirth or related conditions, national origin, disability, military or veteran status, or any other protected status. Accommodations are available upon request throughout all aspects of the selection process. Candidates requiring accommodations may contact, in confidence, [e-mail].

If you are interested in this exciting, challenging position with Wawanesa, apply today with your Resume.

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