Case Manager – Life & Disability Services

Alberta Blue Cross

. Adjudicate Short-Term Disability and Long-Term Disability claims .

Posted 9/24/2026full-timeRemote • CanadaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in adjudicating Short-Term and Long-Term Disability claims while applying relevant regulations and guidelines. Proficient in case management, treatment planning, and effective communication with stakeholders.

Highest-signal resume keywords

Disability Claims ManagementCase Management PrinciplesAnalytical SkillsMicrosoft WordMicrosoft Excel

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Disability Claims ManagementCase Management PrinciplesTreatment PlanningBenefit Payment IssuanceMental Health Claims ManagementInsurance Benefit KnowledgeDecision-Making Under PressureStakeholder Communication

Soft Skills

Detail OrientationOrganizational SkillsTeam-Player SkillsCooperative AttitudeFlexibility

Certifications & Qualifications

Certified Disability Management ProfessionalLOMA Enrollment

Industry Keywords

Group PolicyCLHIA GuidelinesReturn-to-Work ProgramsRehabilitation ProgramsStakeholder Relationships

About the role

Key responsibilities & impact

Adjudicate Short-Term Disability and Long-Term Disability claims
Apply rules and regulations outlined in the Group Policy and CLHIA guidelines
Plan, implement and evaluate case management principles
Issue correct benefit payments
Communicate professionally and accurately with stakeholders
Manage assigned portfolio and become subject matter expert on assigned groups
Develop and monitor treatment plans
Plan return-to-work and rehabilitation programs
Build relationships with involved parties
Provide expert advice to internal and external customers
Communicate with Medical Underwriting, Group Underwriting, Sales, Group Administration and Accounting regarding claims activities, eligibility and financial transactions

Requirements

What you’ll need

Experience related to disability claims management
Degree or diploma in a health-related field such as Nursing, Kinesiology, Rehabilitation Medicine or Social Work is an asset
Mental Health claims management experience is considered an asset
Knowledge of the insurance benefit industry is considered an asset
Strong analytical, detail orientation and organizational skills
Demonstrated excellence in decision-making, especially under pressure
Strong team-player skills and cooperative attitude
Excellent written and verbal communication skills
Proven flexibility, innovation and independence
Ability to deal effectively with external stakeholders and coworkers
Proficiency with Microsoft Word and Excel is required
Certified Disability Management Professional (CDMP) would be an asset
Enrollment in LOMA or other industry-related courses would be an asset
Satisfactory criminal record check required as a condition of employment following a conditional offer

Benefits

Comp & perks

Flexible work style arrangement
Career growth opportunities
Healthy work-life balance
Innovative, high-energy, team-focused environment