Junior Disability Analyst

2 weeks ago

Waterloo, Canada Ontario Teachers Insurance Plan (OTIP) Full time

Company Description

OTIP (Ontario Teachers Insurance Plan) is a member-focused, service-driven organization. We are committed to putting our people first by fostering a positive and inclusive work environment, providing a competitive total compensation package and investing in career development. Our team is currently looking for a:
**Junior Disability Analyst**

**Job Description**:

- Responsible for key decisions and the development of specific case management plans on all life waiver claims within an assigned caseload.
- Reviewing and analyzing contractual and medical information on new Life Waiver claims, while managing an ongoing block of active claims.
- Engaging in professional interactions with members, affiliates, boards, insurance carriers and other stakeholders regarding decisions and updates on claims status.
- Providing ongoing education to members regarding the Life Waiver benefit processes and contractual requirements.
- Working in partnership with the Benefits Service team to obtain claim information, ensure premiums payments are accurate and approvals and terminations are processed in a timely manner.
- Utilizing internal and external resources, as necessary, to progress files forward to resolution.
- Sold understanding of contract wording, ability to analyze contractual, medical, functional and vocational information.
- Ensures information is accurate and meets productivity, quality and service goals.
- Provides regular ongoing education to members, affiliates, boards and other stakeholders, regarding LTD benefit processes and contractual requirements.
- When required, attends and represents OTIP in examinations of discovery.
- Works in partnership with the Rehabilitation Consultants to support members in their return to work efforts.
- Works in partnership with Disability Benefits Coordinators to obtain claim information, ensure benefit payments are accurate and approvals and terminations are processed in a timely manner.
- Utilizes internal 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.
- Assists teammates and provides backup coverage as required.
- Keeps claims information confidential to protect operations.

**Qualifications**:

- One to two 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.
- 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.

Additional Information
**What we offer**:

- Competitive salary and bonus structure
- Industry-leading employer-paid group benefits that start on your first day
- Defined benefit pension plan
- 100% coverage of continuing education and licensing fees (including RIBO and AIC courses)
- Flexible work from home and hybrid options
- Opportunities for advancement
- 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 endeavour 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._
- #LI-Hybrid_

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