Hybrid Senior Disability Case Manager

Posted 2 hours ago

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About the role

  • Senior Disability Case Manager at TELUS Health managing absence and disability claims in the U.S. Collaborating with healthcare providers and employers for compliant claims determination and RTW outcomes.

Responsibilities

  • manage and adjudicate FMLA and other federal leaves, military leaves, state and municipal leaves, company specific leaves, STD, and ADA / PWFA claims
  • conduct comprehensive case assessments by engaging employees and employer HR representatives via phone and email
  • review medical certifications and documentation to ensure determinations meet regulatory requirements
  • consult with internal resources to validate approval or denial recommendations
  • facilitate the ADA interactive process and make reasonable accommodation recommendations
  • establish appropriate RTW goals and actively support RTW planning and coordination
  • ensure all claim activities align with Standard Operating Procedures (SOPs) and Service Level Agreements (SLAs)

Requirements

  • 5+ years of comprehensive experience in U.S. Absence and Disability Case Management
  • strong knowledge of applicable legislation and regulatory requirements
  • proven experience managing ADA / ADAAA accommodation claims and interactive processes
  • excellent organizational and communication skills
  • advanced computer proficiency and comfort working in a paperless, fully online environment
  • Associate’s degree required; registered professional status within Disability Management or a related health field

Benefits

  • health insurance
  • retirement plans
  • paid time off
  • flexible work arrangements
  • professional development

Job title

Senior Disability Case Manager

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

Associate's Degree

Location requirements

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