The analyst is responsible for receiving and processing health-related authorization requests from health care professionals via phone, fax, mail, and web. They must liaise with medical consultants and stakeholders to resolve issues and ensure accurate program eligibility and benefit information.
The analyst will support the Group Underwriting Best Practice roadmap by maintaining and enhancing underwriting tools and systems. They will also collaborate with cross-functional teams to troubleshoot system issues and drive process optimization and automation initiatives.
The Lead will drive growth and diversification for the Clinic division by identifying strategic opportunities and leading competitive procurement processes. They will also manage cross-functional teams to develop business cases, oversee M&A activities, and provide market insights to inform executive decision-making.
Adjudicate disability claims from initial decisions through ongoing case management, including assessing eligibility, monitoring treatment and progress, and arranging appropriate supports. Communicate decisions and coordinate with claimants, employers, healthcare providers, and other stakeholders to support recovery and return to work while meeting service standards.
The Disability Claims Specialist is responsible for adjudicating disability claims, building case management plans, and monitoring treatment progress. They must effectively communicate decisions to stakeholders and maintain accurate records within the electronic case management system.
Set up and maintain disability claims by gathering information, entering accurate claim data, completing documented processes, and responding to inquiries by phone, email, and fax. Calculate and administer income replacement benefits, follow up with stakeholders and medical clinics for required information, and prepare and proofread correspondence.
TeleHealth Nurses provide telephone triage, health information, and professional nursing care to patients in non-emergency situations. They are responsible for assessing patient conditions, documenting clinical notes, and liaising between callers and third parties in critical situations.
Answer members’ questions about health benefits, plan eligibility, payments, and other general matters. Assess and resolve issues efficiently, provide effective strategies for first-call resolution, and deliver excellent customer service.
The Financial Systems Business Analyst will support the implementation of a new ERP system by mapping processes, gathering requirements, and facilitating system configuration. They will act as a liaison between internal teams and vendors to ensure successful system rollout and user readiness.
Provide high-quality support and service to providers and members within a federal contact center environment. Effectively resolve inquiries while maintaining a positive, professional, and collaborative team atmosphere.
Provide high-level customer service and support to group insurance members across Canada. Effectively solve problems and contribute to a positive, collaborative team environment.
TeleHealth Nurses provide professional telephone triage and nursing care using clinical guidelines and decision support software. They are responsible for assessing patient conditions, documenting clinical notes, and liaising between callers and third parties in critical situations.
The Expert Group Underwriter will establish renewal and quote pricing for large, complex corporate groups while analyzing trends to support financial objectives. They will also mentor underwriting staff, conduct peer reviews, and lead process-improvement initiatives.
The Senior Group Underwriter will collaborate with the Group Insurance Pricing team to meet financial objectives for group health, life, and disability insurance sectors. Key duties include establishing pricing for proposals and renewals, drafting financial agreements, and negotiating files with advisors.
The Bilingual Disability Claims Specialist is responsible for adjudicating disability claims and developing case management plans. This role involves active case management, regular communication with stakeholders, and ensuring timely decisions are made.
Provide support and service to providers and members, ensuring the highest level of customer service. Effectively problem solve and contribute positively to a team environment.
