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Manager, Case Management Services (Life & Disability)

Posting Date: Jun 5, 2021

Location: Moncton, New Brunswick, CA, E1C 8L3

Company: Medavie Blue Cross

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. We are proud to be a not-for-profit organization dedicated to giving back to the communities where we live and work, and to ensuring our employees thrive in our award-winning, collaborative culture. We are one of Canada’s Most Admired Corporate Cultures and are recognized as a Caring Company, a designation for national leaders in community investment and social responsibility.

 

Our team of 2,100 professionals work across six provinces. We excel by living our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring the health and wellness of our employees and their families, along with personal and professional growth, through a variety of programs and support at all levels of our organization.

 

Along with Medavie Health Services, we are part of Medavie — a national health organization with over 6,400 employees. Together, our mission is to improve the wellbeing of Canadians. 

 

Job Title: Manager, Case Management Services
Department: Life and Disability Management
Competition: 12751
Internal/External: Internal/External
Employment Type: Full Time, Permanent
Location: Moncton 
Salary: Competitive Compensation and Benefits
Reports To: Director, Group Life and Disability Services
Closing Date: June 13, 2021
   

 

The Opportunity:

The insurance business isn’t just about claims - it’s about relationships too. No one wants to be in a situation where they are sick or injured and require time off work, but sometimes the unexpected happens. It’s in those moments that our members put their trust in us to provide the guidance they need to navigate their recovery. They aren’t just looking for someone to process their claim; they are looking for someone they can count on to get them back to the quality of life they deserve.

In this collaborative role, the Manager is responsible for leading a qualified team of high-energy people through providing ongoing direction and support to ensure service standards and metrics are met. Your team will be built up of Case Management Coordinators (CMC), Disability Payment Administrators (DPA), Case Management Administrators (CMA) and Collection & Accounts Reconciliation clerks who work closely with the Disability Claims Specialist in all regions. The Case Management Coordinators are client focused and on the front-line receiving calls and emails from our clients and claimants. The CMC’s are responsible for the initial set up of new applications, enter data in the claims management and payment systems and prepare letters.  The Disability Payment Administrators are responsible for payment verifications, gradual return to work, COLA and over / under payment calculations.   The Case Management Administrators manage Maximum Benefit Period (MBP) claims and responsibilities include annual medical reviews, setting up payments in system and related calculations.  The Collection & Accounts Reconciliation clerks maintain an overpayment database, identify files requiring credit letters, investigate EFT rejects, receive, and balance cheques. 

 

You will be the primary resource for your team members to determine direction and procedures by providing information, answering questions and requests. You will demonstrate strong analysis and resolving quality and client service problems and identifying trends and recommending system improvement. You will manage the human resource processes including, workforce planning and recruitment, training, and performance management. Reporting to the Director, Group Life & Disability Services the Manager will work closely with their peers in our Atlantic, Quebec and Ontario office to assist in strategic planning and annual budgeting activities of the department. Ensuring delivery of quality disability management products to our customers across the country, the Manager is responsible to the formulation and maintenance of disability management best practices for Medavie Blue Cross.

 

Qualifications:

Education: A bachelor’s degree in a relevant program and/or a combination of relevant work experience.

Work Experience: Five to ten years of related experience in group insurance, specifically within health insurance and/or disability case management with progressive management experience.

Other Qualifications:

• Demonstrated ability to be able to understand the goals of the organization and translate them into plans for the health and Disability Management department through your innovative problem-solving skills

• High level of integrity and accountability while demonstrating flexibility and initiative

• Proven ability to build effective relationships, both with internal and external stakeholders

• The ability to work in a fast-paced environment, with demonstrated function of effective organizational and prioritization capabilities

• Experience creating and establishing new processes, process alignment and process efficiencies that support desired business outcomes

• An effective communicator, mentor, and coach with experience leading teams of varying skill and knowledge

• Demonstrated ability to build team confidence, effectiveness, and performance during significant organizational and divisional change

• High technical aptitude and the ability to understand system and process linkage as it related to process and service delivery

 

Language Skills: English, French would be considered an asset.

 

We would like to thank all candidates for expressing interest.  Please note only those selected for interviews will be contacted.

Medavie Blue Cross is an equal opportunity employer.


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