Disability Case Manager

Saskatchewan Blue Cross - Saskatoon, SK (30+ days ago)

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Saskatchewan Blue Cross®, one of Saskatchewan’s Top Employers, is currently recruiting for a Disability Case Manager in the Life & Disability Services Department. The successful candidate can be based out of either our Saskatoon or Regina office.

JOB FUNCTION

Reporting to the Team Lead, Life & Disability Services, the Disability Case Manager is responsible for the assessment of disability claims consistent with company policies and goals. They will review medical information, job responsibilities, conduct phone interviews, develop case management strategies and return to work plans to support the approval and ongoing management of claims. They will work with the member, employer and providers to facilitate early recovery and return to productive employment to the fullest extent possible while ensuring compliance with human rights legislation and the delivery of superior customer service.

DUTIES & RESPONSIBILITIES

Responsible for disability claim eligibility decisions and payment approvals in accordance with contractual provisions
Initiates and performs the analysis, investigation and assessment of disability claims, documenting case management plans and goals, determines appropriate action and eligibility for benefits
Conducts and documents complete and thorough disability assessments through phone interviews with both the claimant and employer, careful review of medical information, analysis of job description information, and discussions with Medical Consultants
Develops, documents and executes pertinent and comprehensive disability management strategies unique to each case file
Develops and manages effective return to work strategies with input and support of the claimant, employer and other key stakeholders
Organizes and coordinates claim file workflow, facilitating the efficient and effective processing of claims and information
Effectively and confidently communicates claim decisions in writing and by telephone to all stakeholders, while considering how certain outcomes may affect all parties involved
Actively contributes to the development and execution of strategic and operational disability management objectives and continuous process improvements at both the departmental and corporate levels
Prioritizes and maintains workload to meet deadlines, company objectives and department standards
Acts as a key resource and liaison with other departments and organizations
Ensures all claimant information and records are kept confidential and handled in compliance with applicable health records legislation
Initiates and develops strong customer relations with clients, plan administrators and brokers
Minimal travel within Saskatchewan may be required
Other related tasks and duties as assigned

QUALIFICATIONS & SKILLS

Completion of a post-secondary Bachelor’s Degree, Diploma or certificate program in a related field or a minimum of two years experience in a similar role. An equivalent combination of training and experience may be considered
Demonstrated commitment to ongoing professional development and willingness to participate in industry courses and training
Experience in the delivery of health or business-related services and/or knowledge of disability case management and/or group benefits would be considered an asset
Knowledge and interest in current and emerging disability practices and standards
Knowledge of applicable laws and regulations, including but not limited to CPP, Workers Compensation, and other publicly sponsored worker assistance programs would be considered an asset
Strong computer skills with a working knowledge in Microsoft Word and Excel, and the ability to easily learn new software programs
Demonstrated commitment and passion to excel in the delivery of superior customer service
Effective interpersonal and communication skills
Ability to handle shifting priorities, maintain confidentiality and meet deadlines
Demonstrated ability to deal effectively with the public, peers and co-workers, and work effectively in a team environment
The successful candidate will be required to undergo a background check
Must be legally entitled to work in Canada on an unrestricted basis