REMOTE - Bilingual Disability Claims Specialist

Posting Date: Jun 29, 2024

Location: CA ON, CA Quebec, CA Prince Edward Island, CA Nova Scotia, CA NL, CA New Brunswick, CA

Company: Medavie Blue Cross

Our class is starting September 23rd

Apply today and secure your new Career with Medavie!


Job Title: REMOTE - Bilingual Disability Claims Specialist
Department: Health and Disability
Competition: 87083
Internal/External: Both
Employment Type: Full Time Permanent
Location: Atlantic, ON, QC - Remote
Salary: Competitive Compensation
Reports To: Team Leader
Referral Bonus Amount:    $1,000.00


As a Bilingual Disability Claims Specialist, you will be working and collaborating with a team of talented professionals in a high-energy work environment to ensure service level standards are met by managing a block of short or long-term disability cases.


You will support our plan members through illness, recovery and return to work by providing them with disability benefits and proactive case management.


At Medavie you have the flexibility to work from wherever you're most productive and inspired — be it your home office, a few days at home or at work or full time in our offices.


Key Responsibilities:


  • Responsible for the disability claim adjudication from the initial decision to building the right case management plan including: identifying the supports needed for each case, monitoring treatment and the achievement of the plan, and working with the claimant, employer and providers involved in the case.
  • Active case management of files, providing regular communication with all stakeholders and assessing the use of claims tools (rehab, IME etc.) and requesting ongoing medical as needed
  • Provide assessment of key dates within the lifecycle of the claim (COD etc.) and ensure case management plans are updated regularly
  • Ensure that required tasks within the assigned case load meet service level standards
  • Render timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimants
  • Build effective relationships with key stakeholders (the claimants, the treatment providers and physicians, the employers, group administrators, human resources, and lawyers)  to support recovery and return to work
  • Ensure effective and consistent use of our electronic case management system





  • Education: Post-secondary degree completed in Health Sciences (Kinesiology, Psychology, Rehabilitation, Social Work, Nursing, Clinical/Medical Office Administration) or a related field


  • Work Experience:
    • 1 - 3 years relevant experience in a health-related field or case management would be an asset
    • Insurance industry knowledge is an asset, along with health-related terminology, concepts of accommodation and return to work
    • Experience and knowledge of managing files related to mental health
    • An understanding of contract wording and the ability to thoroughly review medical reports and other tools available (e.g., Independent Medical Exams, Function Capacity Exams, surveillance, medical consultant reviews) is an asset


  • Computer Skills:
    • Proficiency working with Microsoft Office applications (Word, Excel and Outlook)
    • Experience working with an electronic case management system (we use Fineos) an asset


  • Language: Bilingualism (English/French) is mandatory for this position


Professional Experience:

  • Exceptional written and oral communication skills
  • Well-developed organizational and prioritization skills
  • You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs
  • Experience providing customer care, support, and assistance with the ability to communicate complex and difficult information clearly
  • Strong initiative, leadership, and strategic thinking
  • Excellent problem-solving with the ability to work independently and with all levels of the organization
  • Ability to maintain a high degree of accuracy in a fast-paced environment
  • Ability to make decisions and problem solve, taking the initiative to do so with minimal direction/supervision


We've got you covered!

  • Flexible work arrangements and emphasis on work-life balance
  • Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day
  • 100% employer-matched Defined Contribution Pension Plan
  • Annual Incentive Bonus which recognizes your contribution to our success
  • Paid vacation and additional Vacation Purchase Program   
  • Wellness benefits, health resources and fitness center discounts
  • Learning: To set you up for success, you will participate virtually in our 10-week paid training program, which will provide you with the necessary education, tools and resources required. While in training, you will be surrounded with colleagues who have your best interest at heart and will continue to support you as you gain your autonomy.
  • Career Growth: We offer a career path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie



A little more about Medavie: 


For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers, and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.


Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community minded. We’re committed to ensuring our employees thrive in our award- winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.


Together with Medavie Health Services, we are part of Medavie — a national health solutions partner with over 7,200 employees. Our mission is to improve the wellbeing of Canadians.


We are an Equal Opportunity Employer. 


Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.


For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.


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

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