Job Title:

Bilingual Claim Manager

Location:

This position is fully remote within Canada, with optional hybrid work arrangements available based on location.

The Client:

Our client is a leading Canadian Life Insurance Company that operates in the life insurance and financial services sector. They offer a range of insurance products, including life insurance, critical illness insurance, and disability insurance.

What You Will Achieve in This Role:

The Bilingual Claims Manager is responsible for overseeing weekly indemnity and long-term disability claims by applying established best practices in disability management. This includes evaluating claims, managing related costs, and mitigating risk within designated authority limits.

Key Responsibilities:

• Assess and determine eligibility for initial and ongoing disability claims by reviewing medical documentation, job duties, contractual terms, and non-medical factors, in alignment with departmental and industry protocols.
• Proactively manage the duration of active claims using established disability management best practices.
• Conduct telephone interviews with claimants and employers to gather relevant information.
• Maintain clear, timely, and proactive communication with all stakeholders regarding claim status and updates, following departmental service standards.
• Develop and execute detailed case management plans for each claim, focusing on a safe, timely, and sustainable return to work; coordinate with treating physicians and employers, and arrange independent medical assessments or third-party services when appropriate.
• Partner with internal return-to-work specialists to create and oversee individualized return-to-work programs.
• Collaborate regularly with team members to exchange insights, share information, and develop solutions for complex claim scenarios.
• Ensure files are resolved effectively, with outcomes that are timely, appropriate, and aligned with both claimant needs and organizational goals.

What You Must Bring to This Role:

• Fluency in both English and French (spoken and written) is essential.
• 3+ years of experience in disability claims management.
• Strong understanding of disability management practices, insurance products, and relevant legislation.
• Knowledge of relevant provincial employment legislation and legal requirements.
• Excellent judgment and decision-making skills, particularly in complex or escalated claim scenarios.
• Outstanding communication and interpersonal skills, with the ability to collaborate across departments.
• Strong organizational skills and attention to detail, with the ability to manage competing priorities.
• LOMA 280, 290, HIAA, CEBS - GBA are assets
• Proficiency with digital tools and claims management platforms.