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About the Role
Process short-term disability claims by applying established policies and procedures. Provide administrative support to clients, members, and insurers for effective and prompt processing of disability claims. Act as a liaison with Trustees, employers, and members, providing information on procedures and claim status to plan consultants and other company staff.
Responsibilities
- Review disability claims to determine fitness for work and ongoing eligibility and entitlement to benefits based on medical documentation, functional abilities, job demands, and contractual provisions.
- Develop and implement case management plans focused on recovery and timely return to work in collaboration with the client and treatment providers.
- Conduct regular assessments to understand the client’s ongoing functional abilities, recovery, and treatment needs.
- Determine work-readiness and develop suitable RTW programs.
- Identify barriers impacting recovery or RTW and coordinate expedited health care or rehabilitation services.
- Manage cases until return to work or claim resolution.
Requirements
- Completion of a Bachelor’s degree or diploma in a health-related field or disability management.
- 3+ years experience in disability claims adjudication or case management.
- Full fluency in French and English.
- A high degree of confidentiality as you will have access to a moderate range of confidential information.
- Strong judgement and critical thinking skills.
- Accuracy and Precision.
- Communication skills.
- Strong assessment and decision-making skills.
- Strong understanding of medical and mental health conditions and treatments.
- Ability to effectively manage and resolve conflict.
Skills
- Proficiency using the Microsoft Suite - MS Word, Excel, Outlook, etc.
- Customer service-focused mentality.
- Positive outlook.
- High level of accountability.
- Ability to prioritize and multi-task in a fast-paced environment.
Location
- Ottawa
- Burlington
- Winnipeg
Work Type
- Full-time
Experience Level
- 3+ years experience
Education Level
- Bachelor’s degree or diploma in a health-related field or disability management
Salary/Compensations
- $60,000 - $67,000 annually
Benefits
- Extended health care and dental benefits
- A retirement savings plan with company contributions
- A suite of Health & Wellness offerings
- Mental Health programs and support for you and your family
- Assistance for the completion of industry designations
About the Company
- Coughlin & Associates Ltd. designs and administers group medical, dental, disability, life insurance and pension benefits for thousands of Canadians.
- Coughlin is a full-service benefits consultant and third party administrator.
- Services include: Group benefits consulting and plan marketing, Plan administration and correspondence, Claims adjudication and payment.
- Established in 1958, Coughlin & Associates Ltd. provides services to some of Canada’s most respected companies, unions, and public service organizations.
Equal Opportunity
- Providing an inclusive, accessible environment, where all employees and clients feel valued, respected, and supported is something we're committed to.
- We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential.
- If you require an accommodation or an alternative format of any posting please reach out to careers@peoplecorporation.com