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About the Role

The Disability Case Manager II adjudicates and independently manages early intervention, short term and/or long-term disability claims, including complex cases. This involves assessing eligibility, developing case management plans, initiating interventions to minimize claim durations, and calculating/authorizing benefits. Effective communication with claimants, employers, healthcare providers, and other relevant parties is essential.

Responsibilities

Review all documentation received including application forms, medical information, employment information and items from other insurers.
Triage claims to assess rehabilitation potential and develop case management plans.
Interview claimants and employers by telephone prior to making claim decisions.
Proactively manage claims to minimize disability periods and facilitate return to work.
Utilize available resources to ensure appropriate diagnosis and treatment.
Ensure compliance with recommendations and participation with rehabilitation interventions.
Initiate assessments such as independent medical examinations, functional capacity examinations or surveillance when necessary.
Provide clear and comprehensive ongoing written and verbal communication with claimants, employers, physicians, treatment providers, internal staff, brokers, third party administrators, lawyers and other parties.

Requirements

Post secondary degree in Kinesiology, Psychology, Disability Management or a related discipline is an asset.
Associate, Life and Health Claims (ALHC) designation is an asset.
3-5 years related experience.
Proficiency in English is required.
Must be subject to a Background check as a condition of employment.

Skills

Influence change
Commitment to continuous improvement
Critical thinking
Problem-solving
Strong communication skills
Effective team player
Knowledge sharing

Location

Hybrid

Work Type

Temporary Full Time
Hybrid (2 days/week in office)

Experience Level

3-5 years

Education Level

Post secondary degree
Associate, Life and Health Claims (ALHC) designation

Salary/Compensations

$60,574 - $100,956

Benefits

Training and development opportunities
Flexible work options
Paid time off
Holistic approach to well-being
Physical and mental health programs
Supportive workplace culture
Volunteer opportunities

About the Company

CLIC is a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society.
The Group Benefits team is a leader in its target markets through service excellence and innovative technology and products.
The team operates with co-operative values, working collaboratively with clients to deliver solutions that meet their business needs.