Disability Benefit Payment Specialist

4 days 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 an:
**Disability Benefit Payment Specialist**

**Job Description**:
The Disability Benefits Payment Specialist is responsible for reviewing and setting up new disability and life waiver claims, verifying members’ eligibility, calculating disability benefits, and processing payments. They are also the primary contact with School Boards and responsible for addressing Member enquiries about the LTD claim status and policy provisions.
- Calculates and processes disability payments.
- Investigates and obtains necessary information for calculations, ensuring accurate disability benefits are calculated. Reviews policy contracts and information provided by the plan administrator to calculate the benefit elimination period and benefit adjustments. Calculations include rehabilitation, all-source maximum, offset, cost of living, appeal retroactive payments over and under-payments, and true-ups.
- Sets up and reviews disability new claims and life waivers to ensure all documents have been submitted and completed properly for processing. This includes verifying eligibility and corresponding with appropriate parties for outstanding information.
- Is responsible for ensuring claim systems are updated with accurate financial information for the Disability Life reserve feed.
- Provides information to school board and union plan administrators, members, affiliates and other members of the Group Life and Disability Claims department which includes verifying claim information and responding to various inquiries and information requests.
- Handles and manages telephone inquiries from Members regarding their long-term disability benefits and claim status through the GL&DC telephone queue.
- Maintains a comprehensive log and diary system to track payments, follow-ups, calculations, and claim status.
- Prepares and processes responses to Members, Unions and School Board representatives in accordance with established standards.
- Keeps LTD claim information confidential to protect operations.
- Performs other duties within competence, as assigned.

**Qualifications**:
**Qualifications**:

- Post-secondary diploma or degree or equivalent business experience
- Experience in short
- or long-term disability calculations and payments.
- Exceptional communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
- Superior time management and organizational skills to manage competing priorities, including project management skills.
- The ability to communicate in French will be considered an asset.

**Working Conditions**:

- General office environment.
- May be required to work overtime.

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._

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