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.

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.

Case Manager – Life & Disability Services

Key skills