Bilingual Disability Claims Coordinator

Company: CLIC
Department:
Group Benefits

Employment Type:

Temporary Full-Time (4 months)
Work Model:
Hybrid (2 days in office)
Language:
Bilingualism in English and French is required.
Additional Information:
This/these role(s) is/are currently vacant

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities.

Our Group Benefits team is a leader in our target markets through service excellence and innovative technology and products. Influenced by our co-operative values, our team of experts work collaboratively with clients to deliver solutions that meet their business needs.

The Disability Claims Coordinator completes the claim registration process including information and eligibility verification on all new claims for Group Early Intervention, Short Term Disability and Long-Term Disability and Individual EDGE claims. This positions also supports the Disability Case Managers by answering the Group Disability and Individual EDGE Individual Disability toll free line, processing, recording and following up on payments, and other administrative work including sending, sorting and processing communications.

• Complete registration of Early Intervention (EI), Weekly Indemnity (WI), Long Term Disability (LTD) Claims and Individual Disability EDGE claims.
• Verify eligibility by collecting billing information from the employer and premium admin, contacting employer, employee, Third Party Administrators (TPAs) and other group departments for additional information as necessary.
• Establish the date of loss, disability cause and other qualifying data, contacting employers/TPAs, physicians/other treatment providers, and employees to ensure that accurate data is collected regarding the absence from work and other details regarding claim.
• Determine if claim is a potential claim or a recurrent claim based on receipt of prior information and by reviewing recurrent provision and prior claim history for same diagnosis.
• Responsible for answering calls (approximately 10-15 per day) on the Group Disability Claims and Individual EDGE claims toll free line from Employers, Employees, Third Party Administrators and Treatment Providers.
• Initiate calls to physicians, claimants, government agencies and third-party administrators to follow up on required information for the disability file.
  Issue stop payments and reissue benefit payments in the event of lost or incorrect payment information.
• Review and send letters to claimants for Disability Case Managers as requests are submitted and as per the agreed upon mailing procedures for the applicable plan sponsor.

• 1-2 years’ experience in group or individual insurance benefits/claims or related.
• Completion of post-secondary technical diploma, Medical Language certificate is an asset.
• LOMA 280 & LOMA 290.
• Successful client service experience with a focus on information accuracy and quality.
• Proficiency in both English and French is essential to the main duties in this role, including servicing and communicating primarily with majority anglophone and francophone clients, groups, and teams. The essential non-French duties are not assignable to adjacent or other team members.

• You influence change and are committed to continuous improvement, in order to exceed client expectations.
• You leverage critical thinking skills to identify problems and proactively propose solutions.
• Your strong communication skills allow you to clearly convey messages.
• You’re an effective team player who shares knowledge to support our peers.

• You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

• Tra…