Use disability claims adjudication expertise in BPA’s 100% in-office Mississauga position. Evaluate medical evidence, contractual provisions, and ongoing benefit entitlement.
As a Case Manager, Non-Occupational Claims, you will determine fitness for work and continuing eligibility. Your work will connect medical documentation, job demands, treatment needs, and contractual provisions. The role suits professionals with at least three years’ disability claims adjudication or case management experience.
Key Responsibilities: Determine ongoing eligibility and entitlement to disability benefits
Review medical documentation against job demands and contracts
Conduct regular assessments of client functional abilities and recovery
Identify recovery barriers and expedite healthcare or rehabilitation services
Coordinate transitions to Long Term Disability as required
Requirements: Health-related or disability management degree, diploma, or CDMP
At least three years’ relevant claims or case management experience
Solid knowledge of medical and mental health treatments
Ability to manage deadlines, pressure, and multiple priorities
Strong computer skills with claims management systems experience
Support sound disability benefit decisions through medical analysis, claims assessment, and organized case management at BPA.