Short-Term Disability Coordinator
Are you a skilled professional who thrives on effective administration and coordination of activities that make it easy for a team to focus on serving the client? If you have experience in health administration and are looking to join a team that helps individuals who are ill or injured regain their health, then this could be the job for you!
Beginning January 2021, ASEBP is implementing a new Short-Term Disability Management (STDM) pilot program, providing third-party management of covered members’ (CM) sick leaves, homing in on increased assistance throughout a CMs short-term leave in pursuit of successful case outcomes. That’s where the short-term disability (STDM) coordinator comes in!
The STDM coordinator is a dual role that will provide support to the STDM pilot program through the timely set up and distribution of incoming sick leaves, as well as facilitate the Extended Disability Benefits (EDB) application and adjudication processes for covered members (CMs) who will require this application. The STDM coordinator will also provide general administrative support to the STDM pilot program. The timely initial functions of this role are crucial to position the team for successful outcomes through the coordination of information and processes.
Your Key Responsibilities
- Process incoming sick leave transactions from employer groups (EGs) included in the STDM pilot program, including sick leave transactions, return to work transactions and complicated maternity leave transactions.
- Retrieve sick leave transactions from the system and prepare files, including initial eligibility review, using a designated template.
- Triage cases and send to the appropriate STDM specialist.
- Process sick leave waivers and fitness to work transactions and ensure STDM specialists are updated.
- Initiate and monitor the EDB application process for individuals participating in the STDM pilot program, as required.
- Interact with CMs to determine their specific health issue and related circumstances to provide them with the most appropriate options (e.g. EDB or other community/benefit resources).
- Help CMs and EGs understand the EDB process; support CMs who need guidance with obtaining appropriate care or finding health care providers in their area.
- Gather all necessary information for the CM’s file.
- Regularly assess and make decisions regarding the appropriate amount of medical information; contact health care providers for additional medical information, as required.
- Arrange for medical assessments, as required, including forwarding appropriate questions.
- Discuss information with appropriate health care providers, as necessary.
- Compile all material related to the application for EDB, determine eligibility and analyze and compile a decision review summary, along with recommendations to accept or decline the application; present this to claims facilitators for decision.
- Follow up on the EDB decision, process EDB approvals and letters, inform CMs and EGs of approved EDB claims and transfer claims to the claims facilitator for ongoing management.
- Approve discretionary funds for medical evaluations and travel expenses up to $5,000.
- Monitor trends and issues related to the EDB application process and alert appropriate internal resources for resolution.
- In collaboration with the Early Intervention Services (EIS) coordinator, prepare and update Canada Pension Plan applications, STDM applications, EDB applications, EDB approvals and packages; ensure these are readily available for team members to access, as needed.
- Attend and actively participate in team meetings, training and activities.
- Alert the EIS team and appropriate ASEBP staff of issues and trends identified through the role and interactions with CMs and stakeholders.
- Ad hoc involvement in various working groups, projects and/or organizational committees at both a team and organizational level.
- Work collaboratively with internal stakeholders across the organization.
- Ad hoc participation in external information sessions and meetings, as needed.
- Assist with new employee orientation, including providing mentorship and training.
Your Education and Experience
- Minimum of two years’ experience in a health, insurance, and/or disability management environment.
- Completion of a two to three year technical or community college certificate or diploma in disability case management or other health-related fields.
A combination of education and experience may be considered.
- Ability to objectively analyze and solve situations within a personal /emotional context.
- Ability to assess style and level of readiness of client, including the ability to assess personal circumstances and situations.
- Ability to present information in a way that is easy for others to understand.
- Ability to effectively deal with emotional reactions from clients.
- Ability to easily build trusting relationships and sort through issues to create effective solutions.
- Demonstrated ability to work independently, as well as part of a team, to best serve our covered members.
- A positive perspective and flexibility to deal with complex and challenging situations that might arise.
- A creative approach to solving barriers and issues that are preventing individuals from remaining at work.
- Exceptional communication skills (interpersonal, verbal and written).
- Exceptional time management and organizational skills with the ability to effectively prioritize work and manage a busy portfolio.
- Strong computer skills including use of Microsoft Office and keyboarding skills.
- Ability to learn custom software programs; knowledge of FINEOS would be an asset.
- Experience in generating pre-designed reports and tracking trends and related information.
How To Apply
If you have the required qualifications and would like to become a member of our team, please submit your resume by Friday, October 23, 2020.
No phone calls please. We thank all interested individuals, but only those candidates being considered for an interview will be contacted. ASEBP is an equal opportunity employer.
All offers of employment for this position are conditional upon satisfactory background and reference checks, which may include a criminal record check, and/or education and employment verification.