Ewa Flay
Winnipeg,Canada
Overview
25
25
years of professional experience
Work History
Office Manager / Executive Assistant
HIL-LITE ELECTRIC Ltd.
01.2024 - Current
- Manages overall functions of administrative department in commercial setting of business in customer sales, vendors-and purchases, including data entry, book-keeping, creating invoices, payments, deposits, and customer relations.
Disability Case Manager
DISABILITY MANAGEMENT INSTITUTE
01.2021 - 01.2024
- Assessed claims for short- and long-term disability according to group policy, including meeting definition of disability and pre-existing conditions, change of definition from Own to Any Occupation, Total and Permanent disability, Age 65 closures, and terminations.
- Assessed for job readiness, coordinated and monitored return-to-work programs (RTW) and referred for rehabilitation services including various therapies, 3rd party assessments and made referrals for vocational services. Referrals included Independent Medical Exams (IME), Functional Capacity Evaluations (FCE), Job and Physical Demands (JDA/PDA) and Transferable Skills Analyses.
- Managed 1st payer and mutual claims for health benefits, top-ups, and takeovers.
- Handled settlement offers and 1st level appeals, referred for level 2 or 3 appeals and Ombudsman services.
- Assisted with Canada Pension Plan (CPP) applications, calculated employment income, 1st payer benefits' offsets, and overpayment / underpayments.
Disability Case Manager, Creditor
WAWANESA LIFE INSURANCE CO.
01.2019 - 01.2021
- Managed creditor claims for mortgage, vehicle and Involuntary Unemployment Insurance (IUI) of approximately 30 different policies, according to individual policy and certificate.
- Assessed claims for short-term and long-term disability, accidental disability, and critical illness, for change of definition from Own to Any occupation, Pre-existing conditions, Maximum Benefit Period (MBP) for coverage during RTW programs and applied exclusions.
- Applied insurance coverage for MBP per policy term coverage for 6 -12 months, or termination at age 66, max loan period up to 96 months/loan changes, and death.
- Calculated and issued monthly payments on claims to individual creditors, applied RTW offsets and collected overpayments.
- Assessments included waiver of premiums for Group Life, AD&D and Critical illness.
Office Manager / Executive Assistant
HIL-LITE ELECTRIC Ltd.
01.2016 - 01.2019
- Managed overall functions of administrative department in commercial setting of business in customer sales, vendors-and purchases, including data entry, book-keeping, creating invoices, payments, deposits, and customer relations.
Disability Case Manager
MANITOBA BLUE CROSS, Life and Disability Department
01.2010 - 01.2016
- Managed short- and long-term disability claims in various industries including construction, education, mechanical, transportation and food processing.
- Assessed claims for short- and long-term disability according to group policy, including meeting definition of disability and Pre-existing conditions, change of definition from Own to Any Occupation, Age 65, terminations, Critical Illness, and managed Group Life policies.
- Assessed job readiness, coordinated and monitored RTW programs and referred for rehabilitation services including various therapies, in-house consultations, 3rd party assessments, and made referrals for vocational services. Referrals included IMEs, FCEs, JDAs, PDAs and TSAs.
- Managed 1st payer and mutual claims for health benefits, top-ups, and takeovers. Successfully ensured clients transitioned to seamless transfer of benefits from start to end of claim.
- Handled settlement offers and 1st level appeals, referred for level 2 or 3 appeals and Ombudsman services.
- Assisted with Canada Pension Plan (CPP) applications, calculated employment income, 1st payer benefits' offsets, and overpayment / underpayments.
- Managed Group Life claims
Disability Claims Specialist
HEB MANITOBA
01.2004 - 01.2010
- Administered in-house long-term disability plan provisions to healthcare employees for disability benefits and waiver of premiums for Dental, Healthcare, Group Life and pension accrual.
- Adjudicated disability claims for eligibility of benefits and assessed new claims for ongoing benefits and terminations.
- Assessed reviews and initial levels of appeals of claims, referred to highest level of appeal and recommended outreach programs such as Employee Assistance Program.
- Calculated and issued benefits, offsets and over / underpayments for pension offsets, CPP, Manitoba Public Insurance (MPI), Worker’s Compensation Board (WCB) and employment earnings, as well as collected overpayments.
- Assessed ongoing benefits and change of definition for disability from Any Occupation considering IMEs and FCEs as a team lead for other staff.
Occupational Rehabilitation Consultant
ORGOC
01.2002 - 01.2004
- Provided services to 3rd party insurance companies in rehabilitation case management, vocational rehabilitation and employment services in long-term disability including early RTW programs, 1-point assessments, primarily for Manitoba Telecom Systems (MTS) and Coca-Cola Bottling Company (CCBC).
- Case managed claims for IMEs and FCEs for third party providers companies included MPI, Manulife, Canada Life and collaborated with WCB and MPI on 1st payer claims.
Vocational Rehabilitation Coordinator
WORKERS COMPENSATION BOARD OF MANITOBA
01.2001 - 01.2001
- Conducted cost analyses of claims and determined claims decisions for ongoing benefits, formulized personalized rehabilitation plans, coordinated educational re-training, training on the job, paid work experiences and monitored job search in the Healthcare Sector.
- 6-month term
Education
Certificate - Applied Counseling
01.2025
Certificate - Disability Case Management
01.2010
Certificate - Human Resources Management
01.2006
Bachelor - Community Rehabilitation and Disability Studies
01.2001
Diploma - Developmental Services Worker
01.1999
GPA: GPA: 4.27 / 4.5 with distinction
COMMUNITY AND EMPLOYMENT INVOLVEMENT
Secretary, Secretary, Robertson Early Enrichment Program (2 years), President and Secretary, Sadok Veselka Daycare (7 years), "Big Sister", Child and Family Services (4 years) - Received Scholarship from Manitoba Family Services for the most outstanding support and effort beyond requirements, Sat as a member on various social committee’s coordination events such as a Family Day and Christmas parties for 150-200 staff and their families at Blue Cross (6 years), Spearheaded United Way campaign as a President at HEB Manitoba, exceeded expected goal and donation total from previous years (1 year)
Timeline
Office Manager / Executive Assistant - HIL-LITE ELECTRIC Ltd.
01.2024 - Current
Disability Case Manager - DISABILITY MANAGEMENT INSTITUTE
01.2021 - 01.2024
Disability Case Manager, Creditor - WAWANESA LIFE INSURANCE CO.
01.2019 - 01.2021
Office Manager / Executive Assistant - HIL-LITE ELECTRIC Ltd.
01.2016 - 01.2019
Disability Case Manager - MANITOBA BLUE CROSS, Life and Disability Department
01.2010 - 01.2016
Disability Claims Specialist - HEB MANITOBA
01.2004 - 01.2010
Occupational Rehabilitation Consultant - ORGOC
01.2002 - 01.2004
Vocational Rehabilitation Coordinator - WORKERS COMPENSATION BOARD OF MANITOBA
01.2001 - 01.2001
University of Manitoba - Certificate, Disability Case Management
University of Manitoba - Certificate, Human Resources Management
University of Calgary - Bachelor, Community Rehabilitation and Disability Studies
Red River College - Diploma, Developmental Services Worker
University of Manitoba - Certificate, Applied Counseling