Disability Claims Examiner

2 weeks ago


Waterloo, Ontario, Canada OTIP RAEO Full time

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 an accessible and inclusive work environment where everyone is treated with respect and dignity.

Job Description

Key Responsibilities:

  • Develop and implement case management plans for long-term disability and life waiver claims, ensuring accurate and timely decision-making.
  • Engage with members, affiliates, and stakeholders to provide professional interactions and support, including rehabilitation opportunities and follow-ups.
  • Ensure accurate and up-to-date information, meeting productivity, quality, and service goals.
  • Provide ongoing education and support to members, affiliates, and stakeholders regarding LTD benefit processes and contractual requirements.
  • Represent OTIP RAEO in examinations of discovery and work with Rehabilitation Consultants to support members in their return to work efforts.
  • Collaborate with Disability Benefits Coordinators to obtain claim information and ensure benefit payments are accurate and approvals are processed in a timely manner.
  • Utilize internal and external resources to progress files forward to resolution.

Requirements:

  • Three to five years' experience in insurance or long-term disability claim adjudication.
  • Post-secondary education in health sciences or a related field, such as nursing, physical therapy, occupational therapy, or exercise physiology.
  • CDMP (Certified Disability Management Professional) certification is an asset.
  • 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, and solid organizational skills.
  • The ability to communicate in French is an asset.

What We Offer:

  • Best-in-class pension and benefits, total reward programs, and comprehensive mental wellness supports.
  • 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.


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