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7 дней назад

Bilingual Senior Disability Claims Consultant

82 648 - 91 831CAD
Формат работы
remote (только Canada)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
Canada
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Bilingual Senior Disability Claims Consultant (Disability Claims/Insurance): Coaching disability claims specialists and consultants while reviewing short- and long-term disability case management, claim decisions, medical reports, and action plans with an accent on quality, complex case analysis, and effective communication. Focus on developing case management capability, correcting files and reports, analyzing contract wording and medical evidence, and coordinating with members, employers, and healthcare providers.

Location: Remote within Canada; listed locations include Montreal, Québec, New Brunswick, Nova Scotia, and Ontario

Salary: CAD 82,648–91,831 annually

Company

hirify.global is a national health solutions partner delivering insurance, primary care, and emergency medical services across Canada.

What you will do

  • Coach and develop disability claims specialists and consultants.
  • Monitor and improve case management quality according to active case management protocols.
  • Review and correct disability management files, reports, claimant communications, and decision letters.
  • Manage action plans and make or recommend decisions on highly complex disability claims.
  • Support collaboration with members, employers, healthcare providers, physicians, and other partners.
  • Monitor claim decisions, case management plans, treatment progress, milestones, and required support.

Requirements

  • University degree or college diploma in a relevant discipline.
  • At least five years of experience managing short- and long-term disability claims for an insurer or government agency.
  • Strong written and verbal communication skills for reviewing and correcting communications with claimants, providers, physicians, employers, human resources, and lawyers.
  • Strong knowledge of contract wording and the ability to analyze disability management trend reports, medical reports, Independent Medical Exams, Functional Capacity Evaluations, surveillance, and medical consultant reviews.
  • Deep understanding of healthcare and insurance, health terminology, accommodation, and return-to-work concepts.
  • English and French bilingualism is required for daily collaboration with teams and partners in Canada.

Nice to have

  • Training or coaching experience, with the ability to explain complex concepts clearly, logically, tactfully, and sensitively.

Culture & Benefits

  • Flexible work arrangements and emphasis on work-life balance.
  • Employer-paid health, vision, and dental coverage from the first day.
  • Employer-matched defined contribution pension plan.
  • Annual incentive bonus, paid vacation, and vacation purchase program.
  • Wellness benefits, health resources, fitness centre discounts, and career development opportunities.

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