Short Term Disability Case Manager

Found in: Jooble CA O C2 - 2 weeks ago


Canada Disabilityinstitute Full time

Disability Management Institute (DMI) offers small and medium sized employers flexible innovative solutions to their disability management needs. WCB/WSIB Claims Management, Self-Funded Sick Leave Adjudication, and Non Occupational Absence Management, Return to Work Planning, Disability Management, and STD, MTD, and LTD Claims 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 Short Term Claims Disability (STD) Case Manager to join our team, working remotely in Canada. The role will adjudicate Short Term disability claims within established timeframes and within the scope of the policy while ensuring excellent customer service.
You will manage a caseload of new and ongoing short term disability files.
You will process and manage all Short Term Disability claims, establishing eligibility, calculation of earnings and benefit levels, along with obtaining the necessary medical evidence within the required timelines
You will interview claimants and employers to gather relevant claim information.
You will ensure all claims are processed in date order, in accordance with the agreed upon service standards for each Client.
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.
You will draft and deliver written correspondence identifying claim activity and next steps
You will participate in claim conference calls with employers
You will ensure all necessary documentation is provided to the insurance carrier in order for them to process MTD/LTD claims.
You will maintain confidentiality over client and corporate records and medical claims information.
You will operate automated claims payment system and performs manual calculations as required. Following training period, a minimum of 95% accuracy is required.
You will manage a caseload of new and ongoing short term disability files.
You will triage claims for rehab potential, return to work and case management plans developed in concert with the early intervention team.
You will prepare long duration claim files for transition to long term disability carrier
3+ years of claims experience in a group insurance environment. Experience in Long or Short term disability insurance preferred.
~ Familiarity with medical terminology and disability contract language an asset.
~ Medical background an asset (ie. Strong MS Office Skills
~ Excellent analytical and letter writing skills, with attention to detail and accuracy
~ WHAT YOU'LL GET In addition to becoming part of a creative, challenging, and stimulating work environment, we also offer:
Our company-wide vacation policy guarantees a minimum of 3 weeks' vacation
Flex days to help you achieve that work-life balance
Wellness programs to support you in and out of the office
Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. We are a fast-growing company and as a result, there are ample opportunities for career growth and professional development when you join our team. From a transparent promotion structure and defined career paths to a wide range of learning and development opportunities, we do what it takes to invest in your career and help you hone your skills so you can grow alongside us
Events and Socials
When you join our team, you’ll enjoy everything from virtual company-wide teaching and training days, industry events, Happy Fridays, team social events and much more
We thank everyone who applies to the Short Term Disability Case Manager;


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