Senior Case Manager - Disability

Job ID : 8165

Working Business Language : English. This role is considered a head-office role and will be required to communicate with internal and external stakeholders across Canada where the primary business language for this role is English.

As such, the successful candidate must be fully proficient in English.

Salary : At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees.

In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan.

The salary offered for this role is determined with consideration to various factors, including but not limited to : your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role.

The salary offered is estimated to be within the following range : $60,000 - $75,000. Candidates with salary expectations outside of the range are still encouraged to apply.

About Us

At Wawanesa, we're proud to offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work.

You may work from any of the following locations : Winnipeg, MB; Wawanesa, MB; Vancouver, BC; Calgary, AB; Edmonton, AB;

Lethbridge, AB; Toronto, ON; Kitchener, ON; Thunder Bay, ON; Ottawa, ON; Montreal, QC; Moncton, NB; Dartmouth; NS

The Wawanesa Mutual Insurance Company ("Wawanesa Mutual"), founded in 1896, is one of Canada's largest mutual insurers, with over $3.

5 billion in annual revenue and assets of $10 billion (CAD). Wawanesa Mutual, with its National Headquarters in Winnipeg, is the parent company of Wawanesa Life, which provides life insurance products and services throughout Canada, and Western Financial Group, which distributes personal and business insurance across Canada.

Wawanesa proudly serves more than 1.7 million members in Canada, and we are home to more than 3,600 employees distributed across the Canadian regions and communities where we operate.

We give back to organizations that strengthen communities, donating more than $3.5 million annually to charitable organizations, including over $2 million annually in support of people on the front lines of climate change.

To learn more visit wawanesa.com.

We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.

Job Overview

Working under minimal supervision, this role supports Wawanesa's success through the ongoing case management of complex Short-Term Disability, Long-Term Disability, Creditor, and / or Disability Income claims for Group & Individual business.

This role is responsible for escalated claims, complaints, litigation, and other complex claims issues.

Job Responsibilities

• Review, assess and render decisions on disability and other claims through the development of claims management strategies to bring claims to succession resolutions.
• Conduct complex investigations as required on existing case files.
• Collaborate with clients and claimants, reinsurers, medical practitioners and providers to obtain claims documentation, provide updates as to claims status and respond to inquiries.
• Review complex and differing policy wordings to ensure decisions are made within the policy's scope.
• Communicate decisions verbally and in writing in an effective and courteous manner.
• Address claims escalations, complaints, and / or claims litigation to a successful resolution.
• Coordinate rehabilitation and other services to assist with successful return to work, including complex programs with multiple providers.
• Maintain records of individual workload and claims adjudication.
• Respond to claimant or other inquiries within company service standards.
• Will perform other duties as assigned.

Qualifications

• Post-secondary degree / diploma in a medical or related field, or an equivalent combination of education and experience is required.
• Minimum five (5) years' case management or related experience is an asset.
• Actively working towards or completion of Case Management or NIDMAR courses is considered an asset.
• Bilingual (read / write / converse) in French is considered an asset.
• Excellent computer skills and knowledge of the Microsoft Office suite is required, including the ability to perform complex calculations using Excel or otherwise.
• Good working knowledge of SharePoint is considered an asset.
• Excellent ability to interpret and apply contract wordings.
• Strong time management and organizational skills with the ability to establish priorities among competing deadlines while maintaining service standards.
• Strong attention to detail with the ability to identify relevant information and potential impacts.
• Strong communication and negotiation skills, with the ability to communicate at the right level for the intended audience, including internal and external customers through written or verbal communication.
• Ability to handle sensitive information while following confidentiality guidelines / legislation.

Wawanesa is proud to be one of Manitoba's Top Employers, a Kincentric Best Employer in Canada and a Forbes Best Employer in Canada recognizing an exceptional place to work!

Diversity, Equity & Inclusion