Job at a glance
Position Type: Permanent If you're looking for a fulfilling career that can make a real difference in your life, and the lives of others, you've come to the right place. As a national health solutions partner, we put people first in everything we do - and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.
Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest - and it's reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership.
Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today. Summary As the Senior Disability Claims Consultant , you will provide quality and cost-effective coaching strategies designed to increase individual and organizational productivity. On a daily basis, you will provide development opportunities that enhance knowledge, develop skills and enrich Disability claims specialists and consultant's capability.
Success will be measured based on the development capacity of coachee's to produce high-quality case management and performance. In this role, your coaching interventions will focus on short term and long-term disability case management processes. You will be responsible for monitoring, reviewing, and supporting all critical components of the case management lifecycle for your coaches, including: Initial claim decisions Development of appropriate case management plans Effective communication practices Key milestones (e.g., COD, CPPD, etc.) Identification of required support Monitoring treatment progress and plan outcomes You will also support collaboration with members, employers, and healthcare providers to ensure timely, well informed, and effective case management practices.
What You Will Do : Coach and develop disability claim specialists and consultants Increase and monitor quality of case management according to the active case management protocol Build effective relationships to support development and engagement of employees Review and correct Disability management files and reports Manage action plan and decision (or provide recommendation) on highly complex disability claims What You Need to Succeed : University degree or college diploma in a relevant discipline At least 5 years' experience in disability case management with another insurer or government agency managing short- and long-term disability claims Demonstrated written and verbal communication skills to successfully review and correct various communications, interview and decision letters to claimants, providers, physicians, employers, group administrators, human resources, and lawyers.
Demonstrated strong knowledge of contract wording, with the ability to thoroughly analyze disability management trend reports, medical reports, and other available tools (e.g., Independent Medical Exams, Functional Capacity Evaluations, surveillance, and medical consultant reviews). Background in training or in coaching in order to communicate complex and difficult concepts clearly with logic, tact and sensitivity will be considered as a strong asset) A deep understanding of the health care and insurance fields, health-related terminology, concepts of accommodation and return to work Bilingualism (English and French) is required to perform the duties of the role, which include daily collaboration with teams and partners in Canada who operate