Hybrid Bilingual Quality Analyst, Disability Claims

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About the role

  • Conduct quality reviews focusing on case management principles as well as overall case management excellence of assigned disability claims files; record quality assurance results using audit tools
  • Review new claim decisions and/or change of definition decisions to assure the quality of the decision as defined by our contract, philosophy and practices
  • Meet service levels for quality, quantity and timeliness (individual and team)
  • Provide feedback on evaluation along with suggestions of improvement
  • Remain current on Group Life and Disability practices and processes
  • Provide input on trends to support actionable recommendations for quality improvement
  • Participate in calibration sessions to ensure consistency in the application of the measures and to ensure program objectives are met
  • Provide subject matter expertise input into Disability process related inquiries
  • Provide feedback on the assessment with strong supporting rationale, when there is a disagreement between Quality and Operation

Requirements

  • Must have Long Term Disability Claims Management experience 3-5 years
  • Must have minimum of 3 years of experience as a Disability Case Manager
  • Experience in auditing, sampling and reconciliation
  • Knowledge of Organizational Effectiveness, Group Benefits and understanding of GB strategy
  • Knowledge of other Group Benefits areas
  • In-depth level of knowledge of disability claims (STD, LTD, and Health Management) processes, controls and systems (3-5 years of long term disability claims experience)
  • PC knowledge (Windows XP, Excel, Word)
  • Bilingualism (French, English, both oral and written) is required for the frequent interactions with English and French-speaking colleagues or internal partners across Canada and worldwide.

Benefits

  • Access to short-term assignments or ‘Gigs’ across the organization, to help you develop new skills and connections.
  • A collaborative and interactive team environment
  • Charitable giving through our You Give, We Give program lets you give back to your community – and in many cases, we’ll match your contributions.
  • Care Days available for self-care or care of others (i.e., family or others you may support) and Sick Days to support your well-being.

Job title

Bilingual Quality Analyst, Disability Claims

Job type

Experience level

Mid levelSenior

Salary

CA$58,000 - CA$93,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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