Official Internal Job Title:

Disability Case Manager

Status:

Temporary (Fixed Term)

Job Description:

The Life and Disability Case Manager for this 6-month contract role, primarily analyzes and makes a decision on applications for Life Benefit Claims and Life Waiver of Premium claims and manages Permanent Total Disability (Long Term Disability) files while continuing to provide exceptional customer service to all stakeholders.

Summary Of Role & Responsibilities

• Management of Permanent Total Disability claims and Life Waiver of Premium claims in a paperless environment
• Processing of Life Benefit Claims
• Provide excellent customer service to partners, vendors, group policy holders/members and respond to inquiries in a timely manner
• Confirm the insured's eligibility of the claim based on the contractual stipulations
• Record, validate and maintain data in both paper and paperless environment
• Analyze Permanent Total Disability claim files taking into account the medical information in file according to the established standards and determines the action and the appropriate follow-up
• Conducts ongoing follow-up and analysis of additional information in all files to be carried out in order to make claims decisions founded on contract criteria
• Ensure disability payments are processed accurately
• Perform benefit adjustment calculations (Return to work, overpayment, etc.)
• Communicates by letter or telephone with insured’s, employers, health professionals and other internal and external stakeholders
• Completes work on various projects related to Group Claims as assigned by manager
• Maintain an electronic filing system
• Support Management in other duties as assigned (i.e. assist Case Managers with follow ups and other support functions)

Necessary Knowledge, Skills and Attributes

• Group Insurance experience preferred
• Excellent customer service
• Intermediate to Advanced computer skills including Microsoft Office (Word, Excel, PowerPoint)
• Strong communication (oral and written)
• Ability to multitask proficiently in a fast paced, performance driven environment
• Attention to detail
• Strong planning, organizing and multi-tasking skills
• Analytical thinker with proven problem solving skills
• Ability to adapt quickly and comfortably to change
• Professional telephone etiquette
• Demonstrates a positive attitude and a desire to succeed
• Strong team player
• Bilingualism (French/English) an asset

What we offer:

• Award winning culture
• Flexible hybrid working conditions (1 day in the office per week)
• Group Benefits from first day
• Defined Benefits pension plan
• Generous time off benefits
• Growth opportunities

#LI-ENG

#LI-Hybrid

Beneva is an equal opportunity employer, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply.

Purpose : True to its purpose, Beneva places people at the heart of its actions and contributes to the well-being of the community. It accompanies its clients in all stages of their lives, both for their insurance and for their financial services.

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