Responsible for the overall management of claims through development, implementation, and monitoring comprehensive and integrated case management plans for all case activities.Major Duties & ResponsibilitiesDevelop, implement, and monitor comprehensive and integrated case management plans for all activity in the case required to achieve recovery, community integration, and where possible, return to work (RTW) by:- Collecting information to progress the case; assessing and positioning each case along its appropriate recovery path; setting goals and making decisions based on legislation, policy, and best practices - Planning activities in collaboration with workplace parties and team members; participating in case conferences with the service delivery team and management; coordinating and taking action on planned activities; reviewing and monitoring new information as received; closing plan activities when active case management is no longer required; following up and evaluating close cases to ensure case management plan continues to be effective; Provide targeted activities focused on identifying RTW factors, removing obstacles, and leveraging opportunities to facilitate a safe return to suitable work by:Identify and co-ordinate intervention by internal and external specialty resources and ensure timely and appropriate completion of these interventions and services by:Make entitlement decisions based upon legislation, policy, and best practices and communicate these decisions verbally and in writing to applicable parties by: Attempt to prevent or resolve disputes. Handle requests for reconsideration and, if appealed, arrange access and process the objection.

Manage a daily caseload of 100+ new business life insurance applications. Determine eligibility for insurance benefits for each case by collecting information from the application, determining if any additional information is needed, obtaining relevant personal and medical information, reviewing corporate policies and guidelines, rendering entitlement decisions using risk assessment framework, and communicating decisions to agents. Collaborate with internal departments and communicate with stakeholders to ensure a seamless application process for the client and agents. Manage incoming inquiries via phone and email from clients and agents, to keep them informed of the status of each application and to resolve any issues

Collected, verified, and inputted personal and financial information to process insurance applications in accordance with corporate policies and service level agreements with agents. Developed training resource materials that improved department efficiency while maintaining and improving quality. Managed the queue of incoming applications and priority requests using time management and prioritization skills, while referring complex or high-value cases to underwriting for further review.

Developed and implemented recreation plans for youth and special needs programs. Senior Counsellor and Counsellor in Youth Recreation programs. Supervised and mentored junior counselors