Date: Dec 1, 2023
Location: Manitoba, CA Remote - Canada, CA
Company: Wawanesa Insurance
Job ID: 7318
Working Business Language: Bilingual in French and English

AT WAWANESA, WE’RE PROUD TO OFFER A FLEXIBLE HYBRID WORK ENVIRONMENT WHERE OUR EMPLOYEES MAY HAVE THE FLEXIBILITY TO WORK FROM THE OFFICE, HYBRID OR REMOTE. YOU MAY WORK FROM ANY OF THE FOLLOWING LOCATIONS: ANYWHERE IN CANADA.

The Wawanesa Mutual Insurance Company, founded in 1896, is one of Canada’s largest mutual insurers, with over $4 billion in annual revenue and assets of $12 billion. Wawanesa Mutual, with executive offices in Winnipeg, is the parent company of Wawanesa General, which offers property and casualty insurance in California and Oregon; Wawanesa Life, which provides life insurance products and services throughout Canada; and Western Financial Group, which distributes personal and business insurance across Canada. Wawanesa proudly serves more than two million members in Canada and the United States. Wawanesa actively gives back to organizations that strengthen communities where it operates, donating well above internationally recognized benchmarks for excellence in corporate philanthropy. Learn more at wawanesa.com
We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.

QUALIFICATIONS

• Post-secondary degree/diploma in a medical or related field, or an equivalent combination of education and experience is required.
• Minimum five (5) years’ case management or related experience is an asset.
• Actively working towards or completion of Case Management or NIDMAR courses is considered an asset.
• Bilingualism (read/write/converse) is required.
• Excellent computer skills and knowledge of the Microsoft Office suite is required, including the ability to perform complex calculations using Excel or otherwise.
• Good working knowledge of SharePoint is considered an asset.
• Excellent ability to interpret and apply contract wordings.
• Strong time management and organizational skills with the ability to establish priorities among competing deadlines while maintaining service standards.
• Strong attention to detail with the ability to identify relevant information and potential impacts.
• Strong communication and negotiation skills, with the ability to communicate at the right level for the intended audience, including internal and external customers through written or verbal communication.
• Ability to handle sensitive information while following confidentiality guidelines/legislation.

• Review, assess and render decisions on disability and other claims through the development of claims management strategies to bring claims to succession resolutions.
• Conduct complex investigations as required on existing case files.
• Collaborate with clients and claimants, reinsurers, medical practitioners and providers to obtain claims documentation, provide updates as to claims status and respond to inquiries.
• Review complex and differing policy wordings to ensure decisions are made within the policy’s scope.
• Communicate decisions verbally and in writing in an effective and courteous manner.
• Address claims escalations, complaints, and/or claims litigation to a successful resolution.
• Coordinate rehabilitation and other services to assist with successful return to work, including complex programs with multiple providers.
• Maintain records of individual workload and claims adjudication.
• Respond to claimant or other inquiries within company service standards.
• Will perform other duties as assigned.