Bilingual Case Manager (Contract)

  • ClassificationClaims
  • Salary
  • Work typeContract
  • LocationOntario, Canada
  • Posted on14 Aug 2017
Back to search results

Job Summary:

Reporting to the Manager, Return to Health the Bilingual Case Manager is responsible for the proactive management of assigned disability claims. The Bilingual Case Manager is responsible for delivering timely, professional and responsive service to our clients and their employees. Case management tasks will be performed using The Williamson Group (TWG) computerized COLO program. Including, but are not limited to:

  • Assess new claims to determine initial entitlement for benefits in accordance with contractual provisions of the client;
  • Proactively manage accepted claims through identification of appropriate cost effective measures to manage claim duration;
  • Decline or approve claims by relying on medical reports deemed necessary and related policies/procedures;
  • Develop and execute comprehensive case management plans including implementation of return-to-work programs and accommodation within the workplace;
  • Effectively communicates claim decisions to claimants and employers; 
  • Responds to inquiries from claimants, employers, physicians, lawyers, and internal TWG business partners;
  • Follows up on the persistency of disability with claimants requesting supportive medical documentation as required;
  • Ensures all client records and case managements notes are accurately documented and maintained;
  • Work collaboratively and communicate clearly and professionally with co-workers;
  • Active participation in RTH team meetings;
  • Co-ordinate IME/FAE/Medaca referrals, file preparation and status updates as required;
  • Co-ordinate TWG’s Medical Consultant discussions and referrals for file reviews;
  • Provide resources to resolve complaint/concerns and service issues;
  • Participate in case conference calls with clients upon request;
  • Maintains regular professional contact with clients in regards to claimant’s status;
  • Attend client meetings to discuss disability case management strategies;
  • Assists in provision of reports as requested.

 

Qualifications:  

  • Minimum of 3 to 5 years short/long term disability claims management;
  • University Degree/College Diploma (area of Health Science as asset);
  • Medical Terminology certification an asset;
  • Excellent keyboarding skills and input accuracy;                                      
  • Sound judgment, ethics and integrity;
  • Highly driven and self-motivated;
  • Strong customer service and caring attitude;
  • Exceptional decision making, analytical and problem solving skills;
  • Demonstrated organizational skills and ability to juggle multiple demands to achieve priorities and required results;
  • Demonstrated ability to tackle contentious situations and negotiate positive results;
  • Proven ability to work collaboratively in a team environment;
  • Superior oral, listening and written communication skills;
  • Proven written and verbal French language abilities.
SEND YOUR RESUME

Fill in the form below to register your interest or request more information about this job.


LOG IN
Sign in with Facebook

Don't have an account? Join us

SEND YOUR RESUME

Fill in the form below to register your interest or request more information about this job.

  • Send me a copy of this application
Submit application