1. Job Summary

HR Service Jobs is seeking a compassionate, detail-oriented, and highly organized Disability Case Manager – Benefit Claim Coordination to support the administration and coordination of disability benefit claims. This role is responsible for guiding claimants through the disability benefits process, coordinating documentation, communicating with relevant stakeholders, and ensuring that claims are handled accurately, efficiently, and in accordance with applicable policies and procedures.

The successful candidate will serve as a key point of contact for employees, claimants, employers, healthcare providers, insurance representatives, and other authorized parties. The role requires a robust understanding of case management principles, benefits administration, confidentiality requirements, and professional communication practices.

The Disability Case Manager will review claim information, monitor case progress, identify missing documentation, follow up on outstanding requirements, and maintain accurate case records. The individual will also help claimants understand administrative requirements, applicable timelines, and the next steps in their claims process.

This position is ideal for professionals who are passionate about helping people navigate challenging circumstances while maintaining high standards of accuracy, service quality, and regulatory compliance.

2. Key Responsibilities

Disability Claim Coordination

- Coordinate disability benefit claims from initial intake through the relevant review and resolution stages.
- Review submitted claim forms, supporting documents, medical certifications, employment information, and other required records for completeness.
- Identify missing, inconsistent,



or incomplete information and coordinate follow-ups with claimants and authorized stakeholders.
- Monitor claim status, track outstanding requirements, and ensure that cases progress according to established service standards.
- Explain administrative procedures, documentation requirements, and claim‑related timelines in clear, accessible language.
- Maintain organized case files and ensure that all relevant communications and decisions are properly documented.
- Refer complex, sensitive, or exceptional cases to the appropriate specialist or authorized decision‑maker.

Case Management and Follow‑Up

- Manage an assigned caseload and prioritize cases according to urgency, deadlines, complexity, and organizational guidelines.
- Conduct regular follow‑ups to obtain outstanding information and provide appropriate status updates.
- Identify potential delays, documentation gaps, and administrative barriers that may affect claim processing.
- Coordinate with internal teams to resolve routine processing issues and support timely case progression.
- Maintain follow‑up schedules, case notes, reminders, and action plans.
- Support return‑to‑work coordination when applicable, working with authorized parties and following relevant workplace policies.




- Escalate urgent concerns or disputed matters through established procedures.

Communication and Stakeholder Support

- Serve as a professional point of contact for claimants, employees, employers, healthcare providers, insurers, and benefits administrators, as authorized.
- Respond to inquiries through telephone, email, and approved case management systems.
- Provide empathetic and respectful assistance to individuals experiencing illness, injury, disability, or financial uncertainty.
- Explain claim procedures without making unauthorized promises about eligibility, approval, payment amounts, or processing outcomes.
- Coordinate information requests among relevant stakeholders while respecting privacy and authorization requirements.
- Manage difficult conversations professionally and refer clinical, legal, or benefit‑determination questions to qualified specialists when necessary.

Documentation, Compliance, and Reporting

- Maintain accurate, complete, and confidential electronic case records.
- Follow applicable privacy laws, data protection requirements, disability benefit regulations, and organizational policies.
- Verify that required documentation is recorded and stored using approved procedures.
- Prepare case summaries, status reports, workload updates, and other administrative reports as required.
- Support internal audits, quality reviews, and process improvement initiatives.
- Identify recurring administrative issues and recommend practical improvements to claim coordination workflows.
- Ensure that all case‑related activities are completed in accordance with applicable service‑level agreements and internal standards.

3. Required Skills and Qualific

📌 Disability Case Manager – Benefit Claim Coordination (Terrace)
🏢 HR Service Jobs
📍 Terrace