Overview
Job Overview
Working under general supervision, this role supports Wawanesa’s success by providing initial decisions and ongoing case management of Short-Term Disability and Long Term Disability claims for Group & Individual business.
This is an exciting opportunity to start a career in Case Management with on-the-job training provided.
Job Responsibilities
Review, assess and render decisions through the development of proactive case management strategies to bring claims to successful resolutions.
Collaborate with members, reinsurers, medical practitioners and providers to obtain claims documentation.
Collaborate with clients to understand their business and identify possible accommodations.
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 empathetic manner.
Coordinate rehabilitation and other services to assist with sate, successful and sustainable return to work.
Maintain accurate records of all claim information
Perform other duties as assigned.
Qualifications
Qualifications
Post-secondary degree in an Allied Health Professional field including Athletic Therapy, Physiotherapy, Kinesiology, Medical Assistant or Psychology is required or an equivalent combination of experience working in the medical field or completing NIDMAR courses
Minimum one (1) to three (3) years’ providing complex customer service over the phone and/or in person.
Bilingual (read/write/converse) in French is considered an asset.