Hybrid Case Manager – Life & Disability Services

at Alberta Blue Cross

• Job title: Case Manager – Life & Disability Services
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Edmonton, Canada

About the role

• Case Manager managing Short-Term and Long-Term Disability claims at Alberta Blue Cross®. Building relationships with parties and providing expert advice on claims management.

Responsibilities

• Adjudicate Short-Term Disability and Long-Term Disability claims.
• Ensure proper application of rules and regulations as outlined in the Group Policy and in accordance with the Canadian Life and Health Association (CLHIA) guidelines.
• Plan, implement and evaluate sound case management principles.
• Responsible for the issuance of correct benefit payment.
• Responsible for professional and accurate verbal and written communication with all stakeholders.
• Manage assigned portfolio and become subject matter expert on assigned groups.
• Communicate with other Alberta Blue Cross® departments including Medical Underwriting, Group Underwriting, Sales, Group Administration, and Accounting to provide and exchange information regarding claims activities, eligibility and financial transactions.

Requirements

• Degree or diploma in a health-related field such as in Nursing, Kinesiology, Rehabilitation Medicine or Social Work is an asset.
• Experience related to disability claims management.
• Mental Health claims management experience is considered an asset.
• Knowledge of the insurance benefit industry is considered an asset.
• Strong analytical skills, detail orientation and organizational skills.
• Demonstrated excellence in the decision-making process especially when under pressure.
• Strong team-player skills and cooperative attitude.
• Excellent written and verbal communication skills.
• Proven strength in the areas of flexibility, innovation and independence.
• Ability to deal effectively with external stakeholders and coworkers.
• Proficiency with Microsoft Word and Excel is required.
• Certified Disability Management Professional (CDMP) would be an asset.
• Enrollment in LOMA or other industry related courses would be an asset.

Benefits

• Flexible work arrangements
• Opportunities for career growth