We are seeking a Disability Claims Adjudicator to join our BPA team in Mississauga.
Benefit Plan Administrators is looking for individuals with a desire to make a difference and are ready to take on the challenge!
If you are an experienced Disability Management professional or have a keen interest in health, wellness, and disability management and enjoy working in a team environment, we encourage you to apply.
Please note : The office location is currently Toronto (1263 Wilson Ave.); however, the office will be relocating to Vaughan (Langstaff Rd.
Highway 50) in the coming months.
This position is 100% in-office.
The Disability Claims Adjudicator will :
- Review short term disability applications to determine initial eligibility and entitlement to benefits based on medical and contractual requirements.
- Ensure applications are complete and all pertinent information secured for the assessment of the claim.
- Evaluate claims by communicating with clients, employers, and health professionals.
- Assess function to determine work-readiness and coordinate a suitable return to work.
- Communicate decisions to clients both verbally and in writing.
- Resolve client issues and concerns in an accurate and timely manner.
- Oversee case until return to work or refer claim for case management, as appropriate.
To be successful as a Disability Claims Adjudicator with BPA, you will need :
- Bachelor’s degree or diploma in a health-related field.
- Fluency in Portuguese is required.
- Minimum two years experience in a medical, benefits administration, or claims setting.
- Understanding of medical and mental health conditions and treatments.
- Strong assessment and decision-making skills.
- Highly organized with strong attention to detail.
- Ability to prioritize and multi-task in a fast-paced environment.
- Demonstrate ability to respond effectively to challenging and time-sensitive situations.
- Ability to maintain a high degree of confidentiality in handling confidential medical information.
- Ability to effectively manage and resolve conflict.
- Excellent written and verbal communication skills.
What's in it for you :
- Learn by working alongside our experts.
- Extended health care and dental benefits.
- A retirement savings plan with company contributions.
- A suite of Health & Wellness offerings.
- Mental Health programs and support for you and your family.
- Assistance for the completion of industry designations.
- Competitive compensation.
At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions.
Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members and stakeholders.
About BPA : BPA is a division of People Corporation and has served members and beneficiaries in their local communities since 1958.
BPA is dedicated to providing a superior benefits experience to our members, businesses, and trusts in the local communities in which they live and operate.
Providing an inclusive, accessible environment, where all employees and clients feel valued, respected and supported is something we're committed to.
We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential.
If you require an accommodation or an alternative format of any posting please reach out to [email protected] .
J-18808-Ljbffr
Claims Adjudicator ( Contract)
We are seeking a Disability Claims Adjudicator to join our BPA team in Mississauga. The Disability Claims Adjudicator will:. To be successful as a Disability Claims Adjudicator with BPA, you will need:. Review short term disability applications to determine initial eligibility and entitlement to ben...
Claims Adjudicator ( Contract)
We are seeking a Disability Claims Adjudicator to join our BPA team in Mississauga. The Disability Claims Adjudicator will:. To be successful as a Disability Claims Adjudicator with BPA, you will need:. Review short term disability applications to determine initial eligibility and entitlement to ben...
Claims Examiner
The Claims Examiner is responsible for proactively managing a portfolio of claim files and working collaboratively with the Claims Team to maintain adequate production levels and customer relationships. This is an exciting opportunity to be work within a rapidly expanding and newly developing claims...
Bilingual Claims Examiner
The Claims Examiner will handle both first- and third- party claims with exposures across Canada, including files in litigation. The Client is a Canadian owned industry leader in Specialty Insurance looking for someone to join their Claims team. Experience in handling claims files involved in litiga...
Clinical Case Manager
The Clinical Case Manager will be the primary point of contact for a specialized case and claims management team requiring both medical and non-medical expertise. The Clinical Case Manager will be responsible for the management of their caseload which entails medical management and cost containment ...
Bilingual Patient Support Program Nurse Case Manager
The Nurse Case Manager (NCM) will play an essential role in supporting patients with reimbursement support to physicians and medical case management services to patients. ...
Claims Examiner
Reporting to the Vice President of Claims, the . Review and assess new and potential claims to determine coverage under the applicable insurance contract and take appropriate action. Participate hands-on in the resolution of simple to moderate claims and coverage issues. Assist in the deve...
Disability Case Manager
As a disability case manager, you will be responsible for managing a case load of claims, making decisions on these claims, reviewing medical documentation, building return to work plans, liaising with rehab, and providing excellent customer service to claimants and all other parties involved. Makes...
Workers Compensation Case Manager - Hybrid
Job Description - Worker’s Compensation Case Manager. Reporting to the Team Manager, you are responsible for managing WSIB claims and facilitating return to work while working on-site for a client with locations in Cambridge and Woodstock. Coordinating case management activities including monitoring...
Psychogeriatric Case Manager
To help fulfill its mission, LOFT is hiring a Psychogeriatric Case Manager. Job Summary As a Psychogeriatric Case Manager (PCM), you will be part of a team that co-ordinates a support network and linkages for older adult and seniors with serious mental illness and other challenges (e. ...