Disability Management Institute (DMI) offers small and medium sized employers flexible innovative solutions to their disability management needs. Our specialties include: WCB/WSIB Claims Management, Self-Funded Sick Leave Adjudication, and Non Occupational Absence Management, Return to Work Planning and Disability Management. Ranging in size from 5-2500 employees our clients span the public and private sectors and cover a wide range of industries
We are currently looking for a Long Term Disability (LTD) Case Manager to work remotely in Canada. The role will adjudicate Long Term disability claims within established timeframes and within the scope of the policy while ensuring excellent customer service.
Outcomes
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Identify a raving fan of your work within 30 days
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Manage a caseload of new and ongoing long-term disability files.
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Provide proactive communication to claimants to keep them apprised of claim status updates and claim progression ensuring service standards are met.
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Triage claims for rehab potential, return to work and case management plans developed in concert with the early intervention team.
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Apply the appropriate policy provisions when reviewing claims and render a decision.
In addition to joining a team that is focused on delivering the “WOW!” factor daily (while enjoying weekly yoga stretches, fresh fruit & vegetables, and lots of cake!), your Key Responsibilities will include:
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Interview claimants and employers to gather relevant claim information.
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Ensure all claims are processed in date order, in accordance with the agreed upon service standards for each Client.
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Utilize available resources to assess diagnosis and treatment plans. Where appropriate liaise in a professional manner with insurance agencies, doctors, employees, management, lawyers…etc., ensuring that only allowable information is released to recognized recipients and that all information is released in writing.
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Draft and deliver written correspondence identifying claim activity and next steps.
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Participate in claim conference calls with employers and team lead.
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Work collaboratively with the Rehab Coordinator to minimize duration of absence and return claimants to work.
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Maintain confidentiality over client and corporate records and medical claims information.
Education & Experience
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Minimum 5 years of claims experience in a group insurance environment
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Minimum 3 years of experience adjudicating Long Term Disability claims
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Post secondary degree or diploma or equivalent experience. Familiarity with medical terminology and disability contract language an asset.
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CEBS, CIP, or LOMA designations (an asset).
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Medical background an asset (ie. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)
The Perks
In addition to becoming part of a creative, challenging, and stimulating work environment, we also offer:
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a competitive salary & benefits program
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paid time off, including flex time
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education assistance
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Registered Retirement Savings Plan (RRSP) with employer matching
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participation in our Happy Friday program
Want to be part of a rapidly growing company that is transforming the way Canadian’s experience benefits? Apply now!
We thank everyone who applies to the Long Term Disability Adjudicator role; however, due to the volume of applications we receive, we are only able to contact candidates who have been selected for an interview.
