Disability Case Management Specialist

  • Location
    Toronto, Ontario
  • Salary
    $ 70000 - $ 75000 / Yearly
  • Job type
    Direct Hire
  • Category
    Human resources - Payroll / Benefits

Disability Case Management Specialist job opening in Toronto, ON

Adecco is currently hiring a permanent full-time Disability Case Management Specialist job opening in Toronto, ON. In this role you will be responsible for all aspects surrounding the administration of disability claims including the communication with employees/claimants, medical professionals, insureds and more. If this sounds like you, read on for more details!

Some of the responsibilities of the Disability Case Management Specialist job opening in Toronto, ON include but are not limited to:

  • Manages all administrative requirements related to disability benefits, from determining eligibility, informing prospect claimants on the benefits available, outlining and communicating the various program requirements and claiming processes, confirming medical forms and requirements, collaborating internally and externally as needed
  • Manages all facets of the various disability benefits payment processes ensuring these are in line with the policy parameters; approvals and extensions, handles systems manipulation, pending file reviews, closures, suspensions, rehabilitative plans including work re-integration and offsets
  • In conjunction with other teams, as required, develops, and streamlines the disability claims process including the initial triage process in order to optimize support to injured claimants, reviews incident reports, manages the triage process, provides direction, including medical/paramedical requirement and/or rehab plan recommendations, and collaborates with the third party case manager, as required to support decision-making and conducts regular on-going file reviews (medical compliance, policy compliance)
  • Communicates with claimants regularly, seeks updates, informs to reinforce program compliance
  • Monitors adherence to treatment plans, reviews work activity
  • Works closely with Manager and Director, as may be required, to resolve policy, process or procedural concerns/queries/appeals as they arise and address complex disability claim issues
  • Monitors disability forms, website content and reviews letter templates working with senior staff ensuring communication is clear and in line with policies and best practices
  • Determines annual eligibility for the Return of Premium benefit, calculates benefit amount, coordinates insurance account adjustments with Accounting and provides confirmation to the claimant Member
  • Determines Life Waiver of Premium eligibility, provides confirmation to provider with respect to reinsurance and as may be required, obtains updated medical information annually, communicates/re-confirms life waiver of premium benefits with the claimant and provides confirmation to both Accounting and Benefits (for yearend and renewal purposes)
  • Regularly attends industry events required to attain insight on industry trends and best practices
  • Verifies third party reporting to ensure proper billing allocation and file status
  • Responsible for year-end reporting to accounting on disability claims runoff
  • Verifies cheque run outputs for all programs
  • Supports medical and administrative requirements around establishing Life/AD&D claims
  • Coordinates LTD claims between employee/employer and provider and maintains regular contact with all parties with respect to open LTD claims
  • Requirements and qualifications for the Disability Case Management Specialist job opening in Toronto, ON include but are not limited to:

  • 5+ years’ experience in disability case management; claims, return to work etc.
  • Education in a related field such as disability management, health sciences, kinesiology, health care etc
  • Excellent communication skills, both spoken and written
  • Confident with various medical and related terminology
  • Ability to work in a sensitive and empathetic environment; patience
  • Strong working knowledge of Excel, Word, Outlook and ability to learn systems quickly
  • Highly organized and strong problem resolution skills
  • CDMP and/or CRTWC certification a strong asset
  • Courses towards CEBS certification also an asset
  • Our client offers a relaxed but professional work environment close to a TTC subway stop in Toronto, ON - compensation is $70-75K plus comprehensive benefits and will have you working Monday to Friday, 8:30am - 4:30pm.  If you are interested in the Disability Case Management Specialist job opening in Toronto, ON, apply now as our client is motivated to hire top talent to join their team!

    • Apply with Adecco

    Reference number CA_EN_1_026575_2058218

    Accommodation will be provided in all parts of the hiring process as required under Adecco’s Employment Accommodation policy. Applicants will need to make their needs known in advance to their Adecco representative.

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