[Hiring] Disability Case Manager @LifeWorks

Role Description

The Concurrent Disability Case Manager will oversee, manage, process, and adjudicate Short-Term Disability (STD) claims and leave requests (FMLA, State, and company-specific). This position is responsible for evaluating eligibility based on federal, state, and plan-specific regulations, communicating clearly with clients and claimants throughout the claims lifecycle, and ensuring ongoing case management adheres to company best practices and client-specific workflows.

The case manager assesses any barriers to a successful and timely return-to-work and engages with stakeholders to implement strategies to address those identified barriers and support return to work or an appropriate alternative plan.

What you’ll do

• Manage and process FMLA (and other Federal leaves as applicable), Military, State leaves; company specific leave claims as well as STD claims.
• Conduct case assessments, contact the employee and their client contacts, by telephone, email or adhoc meetings, to explain the leave management process, employee accountabilities, and gather information for assessment purposes.
• Develop and document an understanding of the situation and the factors supporting, as well as inhibiting, a successful return to work for the employee.
• Review all relevant information and consult with appropriate resources as required (e.g. health professionals, supervisory team, external vendors) to confirm decision (approved / denied) recommendation on FMLA, State, Company specific leaves and STD cases.
• Analyze medical certifications and other medical documentation and claim determination adheres to the required regulatory compliance timeframes as well as applicable STD policies.
• Inform STD claimants of any documentation needed to process a claim, timeframe requirements, claim status (e.g. STD approvals, denials, and consults), or any other information necessary to manage a claim.
• Determine an appropriate RTW goal with the employee and the employer; as well as provide active support for the return-to work planning process between the employee and their client contact and intervene when necessary.
• Act as the primary case contact and will communicate proactively and continuously with the employer’s representative(s) regarding any case management matters that may be required through the life of claim.
• Follow all processes as laid out in the operating procedures and/or as detailed in trainings/meetings.
• Attend Case Management and Disability Management department team meetings and training as required.
• Other projects and tasks as assigned.

Qualifications

• Minimum 3+ years of direct experience managing Leaves and STD disability case management.
• Computer skills and the ability to work primarily online in a paperless environment.
• Strong interpersonal and helping skills along with assessment and problem-solving skills.
• Deep understanding of FMLA and state specific leave laws.
• Experience in managing self-insured Short Term Disability (STD) Plans as well as company specific paid and unpaid leave policies.
• Ability to review and interpret medical documentation and translate clinical restrictions against essential job functions and make recommendations related to workplace accommodations.
• Exceptional conflict resolution and negotiation skills, with the ability to handle sensitive medical information with extreme confidentiality and empathy.
• Key collaborative relationships with US Disability Case Managers, Medical Providers, Client contacts, and Service Delivery Managers.

Requirements

• Registered professional status within the disability management or professional health sector.
• Having additional coursework in occupational health, rehabilitation, legislation related to disability management, helping relationship skills, mediation, human resource management, disability insurance, psychological and workplace factors in disability would be an asset.
• Bilingual (Spanish speaking).
• Associate’s Degree.

Benefits

• Comprehensive total rewards package highlighting competitive salary and bonus structures, minimum 3 weeks of vacation, and flexible benefits plan to meet the needs of you and your family.
• Flexibility to work in-office, virtually or a combination of both.
• Generous company matched pension.
• Opportunity to give back to communities in which we work, live and serve.
• Career growth and learning & development opportunities to develop your skills.
• And much more…

Salary Range

$58,100-$107,900 CAD. Actual total compensation will be determined based on factors such as knowledge, skills, performance and experience. We encourage all qualified candidates to apply, even if the posted salary range doesn't match your expectations. We're open to discussing competitive compensation packages tailored to your experience level and expertise.