Adjudicator, Disability Claims Jobs

We are seeking an Adjudicator, Disability Claims to join our BPA team in Toronto.

If you have a keen interest in health, wellness, and disability management, have a desire to make a difference, and enjoy working in a team environment, we encourage you to apply and take on the challenge.

As a disability claims adjudicator, you will make initial short term disability claim decisions based on eligibility requirements. You will work directly with clients by assessing their functional abilities, exploring opportunities for return to work, and coordinating referrals for expedited care to promote speedier recoveries and return to health.

The Adjudicator, Disability Claims will:

• Assess functional abilities to determine work-readiness and coordinate suitable return to work
• Oversee case until return to work or refer claim internally for case management
• Resolve client issues in an accurate and timely manner
• Evaluate claims by communicating with clients, employers, and health professionals and collecting any additional documentation required for the adjudication of the claim
• Ensure applications are complete and all pertinent information secured for the assessment of the claim
• Coordinate expedited treatment and assessments
• Communicate decisions to clients both verbally and in writing
• Review short term disability applications to determine initial eligibility and entitlement to benefits based on medical and contractual requirements

To be successful as an Adjudicator, Disability Claims with BPA, you will need:

• Ability to effectively manage and resolve conflict
• Ability to maintain a high degree of confidentiality in handling confidential medical information
• Highly organized with strong attention to detail
• Demonstrate ability to respond effectively to challenging and time-sensitive situations
• Understanding of medical and mental health conditions and treatments
• Strong assessment and decision-making skills
• Ability to prioritize and multi-task in a fast-paced environment
• Bachelor’s degree or diploma in a health-related field
• Excellent written and verbal communication skills
• Computer literacy – MS Word, Excel, Outlook, etc.
• Minimum two years experience in a medical, benefits administration, or claims setting; and

All-star candidates will have:

• Fluency in Portuguese, Spanish, and/or Italian (both written and verbal)

What's in it for you:

• Extended health care and dental benefits
• Learn by working alongside our experts
• Competitive compensation
• A retirement savings plan with company contributions
• Assistance for the completion of industry designations
• A suite of Health & Wellness offerings
• Mental Health programs and support for you and your family

At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members and stakeholders.

About BPA:

BPA is a division of People Corporation and has served members and beneficiaries in their local communities since 1958. BPA is dedicated to providing a superior benefits experience to our members, businesses, and trusts in the local communities in which they live and operate.

Providing an inclusive, accessible environment, where all employees and clients feel valued, respected and supported is something we're committed to. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential. If you require an accommodation or an alternative format of any posting please reach out to [email protected]