Claim Manager

Please note the base salary will be determined by the successful candidate's education, skills and experience. The listed salary range serves as a general pay guideline for this position's pay level.

Claim Manager

Location: Remote - Anywhere in Canada 

Empire life is looking to hire a Bilingual 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

1. The environment - we understand the importance of work-life balance and strive to provide a supportive work environment that allows our employees to achieve both personal and professional goals.

2. 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.

3. Play an integral role - this is an opportunity that allows for you to grow your skills, while directly contributing to the business unit you are a part of.

4. Hone your skills - this is an opportunity that allows for you to grow your technical, and functional skills.

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

• Ensure accurate and timely documentation of all communication with customers 

• 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 to alternate insurance organizations (federal, provincial and private insurers)

• 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 

• Based on department standards, ensure proactive communication with our customers regarding claim status and developments

• Accountable for positive file resolution and appropriate outcomes

What we’re looking for you to have

• Bilingual (French/English) is an asset.

• Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology

• 3+ 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 

• Knowledge of word processing, spreadsheet, email, internet and database software

• LOMA 280, 290, HIAA, CEBS - GBA are assets

• Well-developed verbal/written communication, interpersonal, and customer relations skills

• Ability to work independently and as a collaborative team member,  prioritize and balance multiple tasks, and research, analyze, evaluate, negotiate, make decisions and resolve problems

• Ability to apply policy terms and adjudication guidelines

• 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 regular 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 starting from day one of employment, 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.