Bilingual Claim Manager

Bilingual Claim Manager

Location:

Remote, or hybrid if located in Kingston, Toronto, or Montreal.

The total target compensation (TTC) range, including salary and target bonus, is $55,968 - $98,580. This range applies only to permanent roles; fixed‑term contracts and casual roles receive only the base salary. The exact base salary will be based on the successful candidate’s skills, experience, and internal equity.

Impactful work – contribute to projects that positively affect customers, the company, and society.

Deliver excellence – provide personal, accurate, professional, and courteous service and resolution to customers.

Diversity, equity, and inclusion – we are committed to creating a diverse, equitable, and inclusive workplace.

• Investigate, evaluate, and determine eligibility for initial and ongoing payment claims based on medical information, job requirements, non‑medical factors, contract terms, and department/industry protocols within established service standards.
• Manage claims duration by utilizing best practices.
• Interview claimants and employers via telephone.
• Ensure proactive and timely communication with customers regarding claim status and developments.
• Formulate and implement detailed case‑management plans focused on a timely, sustainable, and safe return to work; interact with and appropriately challenge treating physicians and employers; make referrals for independent medical assessments and third‑party organizations.
• Collaborate with in‑house return‑to‑work facilitators to design and monitor return‑to‑work programs.
• Collaborate with team members to exchange ideas, gather information, and offer solutions on claims.
• Accountable for positive file resolution and appropriate outcomes.

• Full bilingualism in French and English.
• At least 2 years of disability claim management experience.
• Knowledge of medical terminology and disability management best practices/protocols.
• Knowledge of relevant provincial employment legislation and legal requirements.
• Proficiency with word processing, spreadsheets, email, internet, and database software.
• Completion of post‑secondary courses in kinesiology, anatomy, biology, life sciences, or rehabilitation.
• Well‑developed verbal/written communication and interpersonal skills.
• Strong customer‑relations skills.
• Ability to work independently and as a collaborative team member.
• Ability to prioritize and balance multiple tasks.
• Analytical, evaluative, negotiative, and problem‑solving abilities.
• Ability to apply policy terms and adjudication guidelines.
• LOMA 280, 290, HIAA, CEBS – GBA assets.

• Hybrid work model.
• Competitive salaries with annual pay increases.
• Annual bonus program for non‑sales positions.
• Access to learning and development programs, and education/tuition reimbursement (role dependent).
• Competitive uncapped commission for sales positions.
• Employer‑funded benefits package from day one, including life insurance, health and dental, and a generous health account.
• Flexible work arrangements and an annual allotment of personal health days.
• Four weeks annual vacation from hire date.
• Defined contribution pension plan with generous employer matching.
• Top‑up programs for parental leave and compassionate leave.
• Employer‑sponsored wellness and recognition programs.
• Cash employee referral program.

Empire Life is proud to be an equal opportunity employer. We celebrate diversity, are committed to creating an inclusive environment, and welcome all applicants. Applicants will receive equal consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, or age.

Empire Life welcomes applications from people with disabilities and disabled people. Accommodations are available upon request for candidates taking part in all aspects of the screening and selection process. If you need this job posting in an alternative format or have any accessibility questions, please contact us.