Ville : Burnaby
Catégorie : Disability & Life Insurance
Industrie : Insurance
Employeur : Pacific Blue Cross
Pacific Blue Cross has been British Columbia's leading benefits provider for 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. Together with our subsidiary BC Life, we provide health, dental, life, disability and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.
We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our Pacific Blue Cross Health Foundation, we also provide funding to community organizations with a focus on alleviating mental illness and chronic disease. We're interested in finding people who want to make a difference and who will take advantage of every opportunity to build a career with us.
Pacific Blue Cross offers an attractive compensation and benefits package, fitness programs, and an onsite gym and cafeteria. Our workplace culture values health and wellness, continuing education, environmental sustainability and giving back to the community.
We are currently recruiting for a Disability Claims Specialist to join our Work & Wellness claims team. This is a permanent role and will require working from office as well as home (hybrid).
Job Summary
Under the general supervision of the area Supervisor, provides professional disability claims services to insured clients including organizing, reviewing, analyzing and investigating claims information from a variety of sources, determining adjudication and assessment actions required to process short term disability claims and initiating referrals or escalation to other internal or external disability resources where intervention or case management is required, Prepares and presents pending short term disability claims and related recommendations to the disability team for discussion and review, monitors active claims on an ongoing basis and communicates claims-related decisions directly to clients and applicants. Generates payments for authorized short term disability claims.
Job Duties
Work & Wellness Disability Claims Adjudication and Assessment
o Provides professional disability claims services to insured clients and ensure claims are coordinated within contractual terms and conditions of eligibility and coverage by:
Customer, Client and Member Service
o Staffs the department’s incoming phone queue by receiving, screening and responding to general and specific claims inquiries from external contacts.
General Team and Department Support
o Maintains up to date knowledge of disability management practices, policies and procedures, system requirements and other information related to the provision of disability management services through continuous learning initiatives.
o On a one to one basis, supports new employees by demonstrating the execution of specific tasks and duties, and sharing knowledge and experience on request.
Qualifications
While we thank all candidates for their interest, only shortlisted candidates will be contacted.
We strive to create a workplace where everyone feels valued and employees feel empowered to freely participate and contribute regardless of race, ethnicity, gender, sexual orientation, religion, ability, education level, parental status, or socioeconomic status. PBC is an equal opportunity employer and welcomes applications from all qualified candidates.
To request an accommodation in completing this application, pre-employment testing, interviewing or otherwise participating in the employee selection process, please direct your inquiries to careers@pac.bluecross.ca.
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