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Claim examiner Jobs in Thunder Bay, ON

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Last updated: 1 day ago
Disability Case Manager (Auto, MVA, WSIB and SABS)

Disability Case Manager (Auto, MVA, WSIB and SABS)

Campbell Morden IncSouth Western Ontario, Canada
Permanent
Looking for case managers across southwestern and the greater Toronto area.The Disability Case Managers will be responsible for assisting employees on behalf of the employer when the employee is of...Show moreLast updated: 30+ days ago
  • Promoted
Infrastructure Specialist Intern

Infrastructure Specialist Intern

OFNTSCThunder Bay, ON, Canada
Full-time
Infrastructure Specialist Intern.The Ontario First Nations Technical Services Corporation (OFNTSC) is a nonprofit organization that provides technical advisory services, training, and capacity deve...Show moreLast updated: 30+ days ago
Senior Liability Adjuster

Senior Liability Adjuster

Crawford & CompanyON, CA
Full-time
We are currently recruiting for a.The position location is flexible, and we can offer in-office, hybrid or fully remote working arrangements. The successful candidate investigates, evaluates, negoti...Show moreLast updated: 30+ days ago
IELTS Speaking Examiner

IELTS Speaking Examiner

ILSC Education GroupThunder Bay, Ontario
Full-time +1
We are looking for suitably qualified and experienced individuals to join our team of IELTS Speaking Examiners in Thunder Bay. IELTS Speaking Examiners are responsible for conducting Speaking testin...Show moreLast updated: 30+ days ago
Payment Specialist

Payment Specialist

Workplace Safety and Insurance Board (WSIB)Thunder Bay
Permanent
As a member of a provincial team, review and critically analyze claims that have been approved for the payment, or adjustment of wage replacement and related benefits, leveraging knowledge of Legis...Show moreLast updated: 28 days ago
Centre Supervisor Thunder Bay-PERM- Full-time- Non-Bilingual

Centre Supervisor Thunder Bay-PERM- Full-time- Non-Bilingual

SercoThunder Bay, Ontario, Canada
Full-time
If you enjoy working with the public in a high energy and dynamic environment - challenging and rewarding job opportunities await you at Serco Canada Inc. You will be part of a professional team whi...Show moreLast updated: 1 day ago
Gestionnaire, qualité de la tarification

Gestionnaire, qualité de la tarification

Wawanesa InsuranceThunder Bay, ON (Hybrid), CA
Full-time
Diriger des projets visant à réduire la complexité de la tarification.Créer une vision pour simplifier les domaines complexes de la logique de tarification, adopter une approche nationale et assure...Show moreLast updated: 2 days ago
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Disability Case Manager (Auto, MVA, WSIB and SABS)

Disability Case Manager (Auto, MVA, WSIB and SABS)

Campbell Morden IncSouth Western Ontario, Canada
30+ days ago
Job type
  • Permanent
Job description

Description

Looking for case managers across southwestern and the greater Toronto area.

SABS experience.

SUMMARY :

  • The Disability Case Managers will be responsible for assisting employees on behalf of the employer when the employee is off work or at risk of being off work for health reasons.
  • The case managers will assess any barriers to a successful and timely return-to-work plan.
  • The case manager will oversee a client’s medical status and work as part of an allied healthcare team.
  • The case manager will liaise with various medical disciplines, insurance adjusters, layers, employers , etc.
  • Engage with stakeholder to implement strategies to address those identified barriers and support return to work or an appropriate alternative plan.

RESPONSIBILITIES :

  • Conduct initial case assessment, contacting the employee and their direct manager by phone to explain the disability management process and gather information for assessment.
  • As part of the team, provide medical expertise and opinions on newly received and ongoing disability claims to support the claims management process with claims and vocational specialists.
  • Provides medical expertise to help determine eligibility of disability benefits, impact of medical condition, project expected duration and required duration management interventions of the claim based on medical condition.
  • Work with treatment providers to obtain medical information needed to manage the disability claim. They will manage transition to LTD and provide medical and summary case management information to the LTD insurer to ensure seamless transition.
  • Provide timely and high quality medical review of disability claims management. Contact with medical providers, obtain necessary records, obtain responses to medical narratives and conduct telephone interviews / consultations for the purpose of obtaining medical information necessary to effectively manage the claim.
  • Provide claims specialists with medical opinions through a variety of means including walk-ins and formal written file reviews. Appropriately document medical research and opinion in objective and professional manner in the claim file.
  • Clearly define restrictions and limitations to aid in initial and ongoing liability decisions. Recognize when other resources need to be involved and discuss values
  • Have an understanding of disability contracts and products and apply that knowledge in day to day work. Understand the key financial and business indicators of the disability claims business.
  • Requirements

    QUALIFICATIONS :

  • Health Science degree
  • Minimum 3 of Disability Case Management experience in Auto, MVA,WSIB and SABS.
  • Additional course work in occupational health, rehabilitation, legislation related to disability management, mediation, human resource management, disability insurance, psychological and workplace factors in disability an asset;
  • Adjudication, industrial disability management, cardiac and orthopedics an asset.
  • Excellent written and oral communication skills.
  • Additional Comments

    If you are interested in this opportunity, please forward your resume by separate attachment in word format to :  tanya. Upon receipt of your resume I will call you to discuss the opportunity in detail. For further information, please contact : Tanya Bassil, Sr. Partner Campbell Morden Inc.