Claim Manager
Location: Remote, or if local to an office, hybrid - Kingston, Toronto or Montreal
Empire life is looking to hire a Claim Manager to join our Group Operations team! The Claim Manager applies disability management best practices to effectively manage the payment, expenses and risk associated with weekly indemnity and long-term disability claims within approved authority limits. The incumbent is guided by defined procedural constraints, and works under the moderate supervision of the Manager, Life and Disability Claim Management.
Why pursue this opportunity
The role - this is a new position and your chance to join a growing team, while being provided the opportunity to make an impact.
Impactful work - get the opportunity to work on meaningful projects that have a positive impact on our customers, our company, and society as a whole.
Deliver excellence - provide a personal, accurate, professional, and courteous service and resolution to our customers.
Diversity, equity, and inclusion - we are committed to creating a diverse, equitable, and inclusive workplace and welcome candidates who share this commitment.
What you’ll be working on
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 active claims duration by utilizing best practices
Interview claimants and employers through telephone interviews
Based on department standards, ensure proactive and timely communication with our customers regarding claim status and developments
Formulate and implement a detailed case management plan on each file with a focus 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
What we’re looking for you to have
Bilingualism in French and English is preferred
2+ years work experience in disability claim management
Knowledge of medical terminology and Disability Management best practices/protocols
Knowledge of relevant provincial employment legislation and legal requirements
Strong experience with word processing, spreadsheets, email, internet and database software
Completion of a post-secondary courses in kinesiology, anatomy, biology, life sciences or rehabilitation
Well-developed verbal/written communication and interpersonal skills
Well-developed customer relations skills
Ability to work independently and as a collaborative team member
Ability to prioritize and balance multiple tasks
Ability to analyze, evaluate, negotiate, make decisions and resolve problems
Ability to apply policy terms and adjudication guidelines
LOMA 280, 290, HIAA, CEBS - GBA are assets
If you are applying for a position which is open to applicants across Canada, unless otherwise indicated in the position, language proficiency in English is required for communicating with customers, advisors, or employees across Canada.
Beyond the salary
For permanent full-time positions, Empire Life offers a comprehensive total rewards package that includes:
Competitive salaries with annual pay increases
Annual bonus program, which recognizes both strong company performance and individual contributions, for non sales positions
Competitive uncapped commission, for sales positions
A comprehensive employer-funded benefits package that includes life insurance, disability, 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
A defined contribution pension plan with generous employer matching
Top up programs for parental leave and compassionate leave
Employer-sponsored wellness and recognition programs
A cash employee referral program
To learn more about working at Empire Life, visit https://www.empire.ca/workatempire.
Get to know us
Empire life is proud to be an equal opportunity employer. We celebrate diversity, are committed to creating an inclusive environment, and welcome everyone to participate in our application process.
We encourage those of all backgrounds and experiences to apply, even if you don't believe you meet each unique qualification outlined. 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 recruitment@empire.ca.
