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disability claims examiner - insurance @ Medavie

Montréal (QC), CanadaOnsiteFull-time
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About this role

Position Type:PermanentIf you're looking for a fulfilling career that can make a real difference in your life, and the lives of others, you've come to the right place.As a national health solutions partner, we put people first in everything we do - and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest - and it's reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.Our class is starting August 31st, 2026 Apply today and secure your new Career with Medavie! As a Bilingual Disability Claims Specialist, you will be working and collaborating with a dynamic and talented team of professionals in a high-energy work environment supporting our members through illness, recovery and return to work by providing them with disability benefits and proactive case management.In this role you will help members to realize their potential for productive lives, to the best of their abilities.At Medavie you have the flexibility to work from wherever you're most productive and inspired - be it your home office, a few days at home or at work or full time in our offices.Key Responsibilities:Responsible for the disability claim adjudication from the initial decision to building the right case management plan including identifying the supports needed for each case, monitoring treatment and the achievement of the plan, and working with the claimant, employer and providers involved in the case.Active case management of files, providing regular communication with all stakeholders and assessing the use of claims tools (rehab etc.) and requesting ongoing medical as neededProvide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularlyEnsure that required tasks within the assigned case load meet service level standardsRender timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimantsBuild effective relationships with key stakeholders (the claimants, the treatment providers and physicians, the employers, group administrators, human resources, and lawyers) to support recovery and return to workEnsure effective and consistent use of our electronic case management systemQualifications:Education: University degree or a completed college diploma related to occupational health, disability management, kinesiology, Education, Human Resources, Legal Study areas are assets but are not limited.Work Experience:Do not have Disability related work experience? That's ok.....we are looking for candidates with a combination of education and/or experience with well-developed analytical, decision-making and problem solving skills. For those with work experience related to disability claims management, insurance benefits, adult education, kinesiology or other health-related industries or new graduates with a Degree or Diploma in Disability Management, Kinesiology, Rehabilitation Medicine or other health-sciences - we want to hear from you!Experience in a professional setting where you have the demonstrated ability to make critical decisions, solve problems and both work as a team and autonomously to pivot quickly and help

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