Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Target Resume Now
Tailor your resume to this Bilingual Disability Management Coordinator role.
Rezi rewrites your resume against People Corporation's job description. Free.
Tailor your resume to this Bilingual Disability Management Coordinator role.
Rezi rewrites your resume against People Corporation's job description. Free.
Don't guess if your resume is good enough.
See how it scores against the Bilingual Disability Management Coordinator posting at People Corporation — free, in seconds.
Don't guess if your resume is good enough.
See how it scores against the Bilingual Disability Management Coordinator posting at People Corporation — free, in seconds.
About the Role
Oversee the full lifecycle of disability management and accommodation claims, with consults on all complex claims prior to adjudication decision. Facilitate an early, safe return to work by developing and monitoring individualized recovery and transitional return-to-work plans. Collaborate with healthcare providers, support service partners, and employers to optimize treatment and workplace accommodations.
Responsibilities
- Manage all non-complex and complex disability management and accommodation claims, including psychological claims, multiple diagnoses, and co-morbid conditions.
- Complete claim consults with designated individuals on all complex claims prior to the adjudication decision.
- Conduct detailed phone functional interviews regarding activities of daily living (ADL) while providing tips to reduce barriers.
- Evaluate medical and workplace information to determine if key elements are present.
- Execute adjudication of all claims in accordance with client and OSI policies.
- Request clinical notes in any claim that requires additional clarity.
- Enter detailed information regarding the claim, status, billings, communications, and next steps into the internal claims management system.
- Ensure a Care Management Action Plan is in place on all files, as required.
- Review and respond to client instant messages received in the internal claims management system within one (1) business day of receipt.
- Manage all claims by developing outcome-focused recovery and return-to-work plans that facilitate an early, safe return to work while minimizing claim duration.
- Determine when additional tools are to be used at the appropriate times, including IME, FCE, referral to rehabilitation, medical consultant, pharmacogenetics, cognability, or workstation evaluations.
- Interact with various key support service partners and health providers to enhance claim outcomes, facilitate treatment plans, and ensure the claimant is receiving optimal treatment at all times.
- Maintain regular communication with clients to ensure they are kept informed of claim status throughout the claims management process.
- Communicate the employee’s functional capabilities to the employer to determine if the employer is able to provide modified duties in the return to work planning.
- Facilitate and monitor Transitional Return to Work Plans (TRTWPs) to support successful return-to-work outcomes.
- Complete file reviews with the designated Team Lead on any claims over 30 days.
- Assist with other ad hoc claims and duties as needed.
- Record all billable and non-billable time in the internal claims management system.
- Participate in monthly client calls and meetings as required.
- Collaborate effectively with internal and external stakeholders, contributing to a team-oriented environment while supporting client needs and ensuring service continuity.
- Demonstrate a strong commitment to performance excellence, accountability, and professional development, while supporting colleagues, achieving key performance metrics, and contributing to continuous improvement initiatives.
Requirements
- Completion of post-secondary education in a related field including healthcare, nursing, rehabilitation sciences, disability management, human resources, occupational health, health and safety, business, insurance, legal and paralegal studies, or an equivalent combination of education and relevant work experience.
- Bilingual fluency in French and English including both written and oral communication.
- Relevant experience in Disability Management / Claims Adjudication / Return-To-Work Initiatives / STD and LTD Claims Management / Healthcare and direct patient care, or other fields with transferable skills applicable to the role.
- Knowledge and understanding of short-term or long-term disability programs, various treatment programs, and return to work planning and initiatives.
- Understanding of medical terminology and common physical and mental health conditions.
- Strong proficiency and skills in the Microsoft Office Suite, and ability to learn an internal database system.
- Ability to identify issues quickly and develop effective solutions through critical thinking and analytical reasoning.
- Exceptional communication skills, delivering excellent customer service, collaborating with teams, and interacting with clients professionally.
- Ability to build and maintain strong, collaborative relationships with clients, team members, and key stakeholders.
- Strong organizational skills, time management, and ability to prioritize tasks effectively.
- Ability to work within established procedures and policies, ensuring privacy protocols and standard operating procedures are strictly followed at all times.
Skills
- Disability Management
- Claims Adjudication
- Return-To-Work Initiatives
- STD and LTD Claims Management
- Healthcare
- Direct patient care
- Microsoft Office Suite
- Critical thinking
- Analytical reasoning
- Communication skills
- Customer service
- Team collaboration
- Client interaction
- Relationship building
- Organizational skills
- Time management
- Prioritization
- Adherence to procedures and policies
- Privacy protocols
- Standard operating procedures
Location
- Canada
Work Type
- Full-time
Experience Level
- Relevant experience
Education Level
- Post-secondary education in a related field or equivalent combination of education and relevant work experience
Salary/Compensations
- $52,000 - $60,000 annually
Benefits
- Extended health care and dental benefits
- Retirement savings plan with company contributions
- 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
- Organizational Solutions Inc. (OSI) is dedicated to providing exceptional disability management services tailored to the unique needs of organizations across Canada.
- We are committed to providing an inclusive, accessible environment, where all employees and clients feel valued, respected, and supported.
- 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.
Equal Opportunity
- We are committed to providing an inclusive, accessible environment, where all employees and clients feel valued, respected, and supported. 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.