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Disability Claims Specialist
2 months ago
About the Role
We are seeking a highly skilled and detail-oriented Disability Claims Specialist to join our team at OTIP RAEO. As a key member of our claims team, you will be responsible for managing a caseload of long-term disability claims, making key decisions, and developing case management plans.
Key Responsibilities
- Review and analyze contractual and medical information on new LTD claims, while managing an ongoing block of active, complex LTD claims.
- Engage in professional interactions with members, affiliates, boards, and other stakeholders regarding decisions, rehabilitation opportunities, and timely follow-ups.
- Ensure information is accurate and meets productivity, quality, and service goals.
- Provide ongoing education to members, affiliates, boards, and other stakeholders regarding LTD benefit processes and contractual requirements.
- Attend and represent OTIP in examinations of discovery, as required.
- Work in partnership with Rehabilitation Consultants to support members in their return to work efforts.
- Collaborate with Disability Benefits Coordinators to obtain claim information, ensuring benefit payments are accurate and approvals and terminations are processed in a timely manner.
- Utilize 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.
Requirements
- Three to five years' experience in insurance or long-term disability claim adjudication.
- Post-secondary education (diploma, degree, or certificate) in health sciences or a related field, such as nursing, physical therapy, occupational therapy, 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.
What We Offer
- Best-in-class pension and benefits, total reward programs, and comprehensive mental wellness supports.
- 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 RIBO courses 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.
About OTIP RAEO
At OTIP RAEO, we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization. We put our people at the centre of everything we do, and we're committed to creating a diverse, equitable, and inclusive environment for all.
