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Beneva

Technician - TPD Management and Support

Claims AdjudicationUpdated on Nov 15
Full-timeNo salary listed

About the Job

Requirements

  • A Diplôme d’études collégiales (DEC) is required.
  • At least two years of experience managing disability files is required.

Responsibilities

  • Identify members’ needs and inform them about resources available through the group insurance plan or other relevant resources, referring cases for an intervention plan when needed.
  • Help members coordinate with other products held under their group insurance plan or other Beneva products, following work procedures and the scope of the role’s responsibilities.
  • Analyze relevant information to determine Beneva’s obligations, including contractual provisions, service agreements, medical evidence, non-medical factors, government programs, legislation, and internal policies and procedures.
  • Provide customer service and manage total and prolonged disability files in accordance with contractual provisions and work procedures.
  • Contact treating physicians and healthcare facilities to obtain medical information needed to document a medical condition and conduct an independent assessment to better document the condition.
  • Assess whether a member receives or may be eligible for benefits from Retraite Québec, the Canada Pension Plan, or another plan, and support members in preparing applications.
  • Identify requests that should be transferred to an advisor due to their complexity, based on the technician’s expertise, and advise managers about transferring those files.
  • Identify procedural, administrative, and contractual irregularities in the management of assigned files, submit solutions to the assistant director, and participate in implementing changes that may affect the business model used with clients and partners in the relevant sector.

About the Company

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