REMOTE - Bilingual Disability Claims Specialist
Medavie Blue Cross
- New Brunswick
- Permanent
- Full-time
- Disability claim adjudication; reviewing eligibility of claimant, assessing total disability through the evaluation of medical information, telephone interviews etc.
- Active case management of files; provide ongoing and regular communication with all stakeholders of claim, assess use of claim tools (rehab, IME etc.), review and request ongoing medical as needed, provide ongoing assessment of key dates within the lifecycle of the claim (COD etc.) and ensuring case management plans are updated regularly.
- Accountability and responsibility to ensure that the management of required tasks within the assigned case load meets all service level standards.
- Render decisions on a timely basis and effectively communicate these decisions, at times potentially difficult decisions and manage escalations with employers and claimants.
- Build effective relationships with key stakeholders and claimants to support recovery and return to work.
- Effective and consistent use of an electronic case management system (Fineos).
- Education: Post-secondary degree completed in Health Sciences (Kinesiology, Psychology, Rehabilitation, Social Work, Nursing, Clinical/Medical Office Administration) or a related field
- Work Experience: 1 to 3 years relevant experience. Background in a health-related field or case management would be an asset.
- Professional written and verbal communication skills to successfully partner and influence various stakeholders including the claimant, their treatment providers and physicians, the employer, group administrators, human resources, and lawyers.
- Strong organization and prioritization skills required to manage different type of tasks
- Excellent customer service and telephone skills with the ability to communicate complex and difficult information clearly with tact and sensitivity. At ease with both incoming and outgoing calls.
- Strong analytical skills, excellent problem-solving abilities and can work with minimum supervision.
- A general understanding of the health care and insurance fields, health related terminology, concepts of accommodation and return to work.
- Experience and knowledge of managing files related to mental health.
- An understanding of contract wording and the ability to thoroughly review medical reports and other tools available (e.g., Independent Medical Exams, Function Capacity Exams, surveillance, medical consultant reviews) is an asset.
Language: Bilingualism (English/French) is mandatory for this position.To set you up for success, you will participate virtually in our 10 week paid training program, which will provide you with the necessary education, tools and resources required. While in training, you will be surrounded with colleagues who have your best interest at heart and will continue to support you as you gain your autonomy.We offer a career path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie.Hear what some of our team members have to say:“I didn’t have experience in this field when I first got hired, but I’ve been here for over two years now and there has been a great level of support from colleagues and management that’s helped me build my confidence and skills for this job. You’re always learning something new and there is so much opportunity for growth!” - Lily, Disability Claims Consultant"You immediately feel like part of a family, not a business, when you join MBC. The people are what make this an amazing place to work" - Kim, Manager, Disability Case Management“This is one of the most rewarding places that I have worked in. The job is very flexible by allowing you to work from home. Most importantly, the team is fantastic, so you look forward to going to work every day.” – Joana, Team Leader, Case Management Services“This company really values their employees; the disability team is supportive and there is a good work-life balance. Working for Medavie is very rewarding.” - Annie, Disability Claims Consultant“Since the day I started at MBC, I was met with caring, passionate, and supportive colleagues and leaders that never hesitate to lend a helping hand when needed. MBC truly values their people and encourages both personal and professional growth and opportunities.” - Abegail, Disability Claims Specialist"Working for Medavie allows us to truly live some of our values, caring and community-minded, on a daily basis. There is a warm, family feel within our teams, despite our current virtual environment" - Erin, Manager, Health & Disability ManagementWe are an Equal Opportunity Employer.Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.