Claims Adjudicator

Job Description

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.

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; and
• Fluency in French is required
• Minimum two years experience in a medical, benefits administration, or claims setting; and
• 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.