Disability Analyst

1 week ago


Kitchener, Ontario, Canada Ontario Teachers Insurance Plan Full time

With every job, there's always the question of "why". Why join a company? Why be part of their mission? Here, the why is easy. It's because at some point, we've all needed someone there for us.

At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they are, andincluded in thevery fabric of the organization: they bringtheirbestto work every day. And that's why we mean itwhen wesay we put our people at the centreofeverything we do. Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service.

Job Description

What You'll Do:

Reporting to the Group Life and Disability Claims Manager,you'll be responsible for:

The core parts of your role will be to:

  • Key decisions and the development of specific case management plans on all long-term disability (LTD) and life waiver claims within an assigned caseload. Reviewing and analyzing contractual and medical information on new LTD claims, while managing an ongoing block of active, complex LTD claims.
  • Engaging in professional interactions with members, affiliates, boards and other stakeholders, on a regular basis regarding decisions, rehabilitation opportunities as well as timely and efficient follow-ups to telephone end email communications.
  • Ensuringinformation is accurate and meets productivity, quality and service goals.
  • Providingregular ongoing education to members, affiliates, boards and other stakeholders, regarding LTD benefit processes and contractual requirements.
  • When required, attendingand representingOTIP in examinations of discovery.
  • Workingin partnership with the Rehabilitation Consultants to support members in their return to work efforts.
  • Workingin partnership with Disability Benefits Coordinators to obtain claim information, ensuringbenefit payments are accurate and approvals and terminations are processed in a timely manner.
  • Utilizinginternal and external resources, such as medical consultants, lawyers, vocational and functional rehabilitation specialists, WSIB assessors and technical experts, as necessary, to progress files forward to resolution
Qualifications

Let's Talk About You:

This is the unique blend of skills and experience we would love to see in an ideal candidate:

  • Three to five years' experience in insurance or long term disability claim adjudication.
  • Post-Secondary Education (diploma, degree or certificate) is required in health sciences or related field, such as nursing, physical therapy, occupational therapy and exercise physiology or kinesiology.
  • CDMP (Certified Disability Management Professional) will be considered an asset.
  • A strong understanding of insurance principles and practices, industry standards, legal and contractual obligations, and claims investigation and assessment procedures.
  • Intermediate knowledge of Microsoft Office Suite applications.
  • Ability to deal effectively with all levels of internal and external stakeholders.
  • Ability to multi-task and work in a dynamic and fast paced environment demonstrating superior oral and written communication skills, in addition to solid organizational skills.
  • The ability to communicate in French will be considered an asset.

We also consider your potential. If you know you have what it takes to do the job, but your experience doesn't exactly match the qualifications above, we encourage you to apply and provide us with more details about why you think you would be a great fit.

Additional Information

Some of the Perks We Offer:

We offer best-in-class pension and benefits, total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Here are just some of the reasons you'll love working here:

  • Rewarding salary and bonuses that truly value your dedication
  • Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
  • Defined benefit pension plan for a financially confident retirement
  • 100% coverage of approved continuing education and licensing fees (including RIBOcourses in Ontario)
  • Access to a wealth of learning resources, including LinkedIn Learning for professional development
  • Flexible work-from-home and hybrid options
  • Unlock your potential with opportunities for advancement

Let's work together If you are interested in this opportunity, please apply online.

OTIP and its group of companies strive to create an accessible and inclusive work environment where everyone is treated with respect and dignity. Upon individual request, we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities.

As a business, we protect what matters most to our members. As an employer, we value what matters most in our workplace. Together, this includes fostering a diverse, equitable and inclusive environment for all. We are committed to learning and evolving so we can continue to celebrate what makes us special. You are who you are, and our differences are what make us unique.

We are an equal opportunity employer and encourage applications from all qualified individuals.We thank all applicants for their interest; however, only candidates selected for an interview will be contacted.

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