Bilingual Individual Disability Senior Case Manager

Accountabilities:
The Senior Case Manager will be responsible for managing individual disability and life waiver of premium claims while providing exceptional service and ensuring accurate, compliant claim decisions. The role requires collaboration with internal and external partners, strong documentation practices, and the ability to navigate complex cases independently. Manage ongoing disability claims by gathering and reviewing medical records, financial documentation, investigations, and other relevant information. Evaluate claim eligibility by interpreting policy provisions, exclusions, riders, endorsements, and applicable benefits. Make informed claim decisions and communicate outcomes clearly with policyholders, advisors, brokers, and other stakeholders. Maintain accurate claim files, including detailed documentation of assessments, decisions, and interactions. Review underwriting information, medical history disclosures, and policy details to support effective claim administration. Ensure claim records and reserve calculations are accurately maintained within internal systems. Provide high-quality customer service by addressing inquiries, resolving concerns, and maintaining positive relationships with clients and partners. Collaborate with medical professionals, legal representatives, investigators, and other service providers when required. Apply knowledge of insurance practices, legislation, and industry standards to support fair and consistent claim handling. Requirements: The ideal candidate brings experience in disability claims management, strong communication skills, and the ability to analyze complex information to make sound decisions. This position requires bilingual communication abilities and confidence working with multiple stakeholders in a remote environment. University degree in any discipline or equivalent professional experience. 2–3+ years of experience in claims adjudication, preferably within individual disability insurance. Fully bilingual in French and English, with the ability to support clients across different jurisdictions. Strong customer service mindset with proven negotiation and relationship management skills. Excellent written and verbal communication skills when interacting with clients, brokers, healthcare providers, legal professionals, and internal teams. Advanced proficiency with Microsoft Office tools, including Word, Excel, and PowerPoint. Strong analytical skills with the ability to evaluate conflicting information and make timely decisions. Knowledge of medical terminology, disability-related conditions, and interpretation of medical documentation. Experience reviewing and applying financial documentation and fair claims practices. Understanding of underwriting processes and insurance policy administration. Knowledge of government legislation, insurance regulations, the Insurance Act, and/or Québec Civil Code is considered an asset. Ability to work independently, prioritize multiple tasks, and collaborate effectively within a team environment. Benefits: Competitive salary range of approximately $59,700 CAD to $99,500 CAD annually , depending on experience, qualifications, location, and market factors. Opportunity to participate in incentive programs linked to business and individual performance. Fully remote work arrangement within Canada. Comprehensive health, dental, vision, mental health, disability, and life insurance benefits. Employee and family assistance programs and wellness resources. Retirement savings programs, including employer-supported contributions and financial education resources. Generous paid time off programs, including vacation, holidays, personal days, sick leave, and statutory leaves. Flexible and inclusive work environment focused on employee well-being and career growth. Opportunities to learn, develop skills, and advance within a global organization.

How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
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