We are seeking a Disability Management Specialist to join our Organizational Solutions team (OSI).
The Disability Management Specialist is responsible for overseeing the full lifecycle of disability management claims including complex files. You will conduct a detailed functional assessment, review medical and workplace documentation, adjudicate claims in accordance with organizational and client policies, and initial consideration of the return to work on every claim.
Additionally, you will maintain accurate and timely documentation within the Internal Claims Management System, along with ensuring all claim activities, communication, and next steps are clearly documented and communicated to the client.
The Disability Management Specialist will ensure early and safe return to work through the development and monitoring of individualized recovery and transitional return to work plans. This includes collaborating with healthcare providers, other key support service partners and health providers, and employers (clients), to optimize treatment and workplace accommodations.
The Disability Management Specialist will also provide guidance and support to other Recovery Facilitators by sharing expertise, assisting with complex claim decisions, and promoting consistency in client-specific processes and protocols.
The Disability Management Specialist will:
Manage all non-complex and complex claims including but not limited to psychological claims, multiple diagnosis, and co-morbid conditions
Conduct detailed phone functional interviews regarding activities of daily living (ADL) while providing tips to reduce barriers
Evaluate medical and workplace information to determine if key elements are present
Adjudicate of all claims in accordance with client and OSI policies, and with a high degree of excellence




Request clinical notes in any claim that requires additional clarity including, mental health claims with pre-existing documentation, identified workplace concerns, unique circumstances, etc.
Enter detailed info regarding the claim, status, communications, and next steps, into the Internal Claims Management System
Ensure a Care Management Action Plan is in place on all files, as required
Manage all claims with a return to work (RTW) focus and for the lowest duration possible and with a continuous improvement impact
Produce appropriate tools to communicate status of claim to clients and claimants (varies based on client)
Develop outcome focused recovery and return to work plans with facilitation of return to work as soon as possible
Determine when additional tools are to be used at the appropriate times (i.e.: IME / FCE, refer to rehabilitation, medical consultant, pharmacogenetics, cognability, or workstation evaluations etc.)
Interact with various key support service partners, health providers, to enhance claim outcomes, facilitate treatment plans, and ensure the claimant is receiving optimal treatment at all times
Be aware of status on claims at all times, ensuring Internal Claims Management System is fully updated
Communicate the employee's functional capabilities to the employer to determine if the employer is able to provide modified duties in the return to work planning




Facilitate return to work consistently with a Transitional Return to Work Plans (TRTWP)
Monitor the progressive Transitional Return to Work Plans
Follow up with any missing claim actions or information
Complete file reviews with Team Lead on any claims over 30 days
Complete midpoint review with designated team members
Ensure reported comments updated within the designated time frame
Close claim in the Internal Claims Management System once claimant has returned to work
Act as the primary contact on assigned adhoc claims
Record all billable and non-billable time in the Internal Claims Management
Work with client(s) to understand workplace philosophy and job demands
Participate in monthly client calls and meetings as required
Update any monthly reports, as required
Work collaboratively as part of client(s) team both internally and externally
Coach and mentor other disability management staff by enhancing their knowledge and education levels
Provide support to other Recovery Facilitators and guidance on client(s) specifics and decision process and protocol
To be Successful as the Disability Management Specialist, you will need:
The ability to plan - set objectives and determine strategy to achieve them
A strong sense of urgency and organization / prioritization skills
To identify problems and develop effective solutions quickly
To work with great accuracy and attention to detail
Critical thinking skills, analytical reasoning, robust negotiation skills and conflict resolution skills
Excellent customer service and communication skills
The ability to work within set procedures and policies to ensure the privacy protocols and standard operating procedures are adhered to at all times
The ability to meet and exceed

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📌 Disability Management Specialist (Ontario)
🏢 Peoplecorporation
📍 Ontario