LTD Claims Consultant

1 week ago


Waterloo, Ontario, Canada Ontario Teachers Insurance Plan Full time
Job Title: LTD Claims Consultant

We are seeking a highly skilled and experienced LTD Claims Consultant to join our team at the Ontario Teachers Insurance Plan (OTIP). As an LTD Claims Consultant, you will play a critical role in providing exceptional service and support to our insured members throughout the long-term disability claims process.

Key Responsibilities:
  • Provide expert guidance and support to insured members throughout the LTD claims process, including the initial application and appeal process.
  • Collaborate with internal and external stakeholders, including medical practitioners, local union representatives, and other stakeholders, to ensure seamless communication and coordination.
  • Assist insured members in obtaining other income replacement benefits, such as Canada Pension Plan (CPP) disability benefits, and provide support throughout the appeal process if required.
  • Build and maintain strong relationships with local and provincial unions, understanding their needs and continuously improving the level of service provided.
  • Establish a professional image of the organization for insured members, local unions, medical practitioners, and other stakeholders, promoting OTIP in a positive manner and developing and/or performing public relations activities.
  • Develop a comprehensive understanding of medical information and corresponding claim decisions on file, providing detailed and thorough explanations to insured members and local union representatives.
  • Adhere to documented service standards, identifying opportunities for improvement and implementing process enhancements to achieve a higher level of quality service.
  • Coach and mentor other team members, contributing to the success of the department's stated objectives and participating in special projects as required.
  • Maintain interdepartmental communication and workflow, fostering a spirit of cooperation and providing opportunities for service enhancements.
  • Respond to stakeholder inquiries regarding the ongoing LTD claims process, reviewing timelines and external communications for accuracy.
  • Exercise tact and diplomacy to effectively resolve difficult situations, negotiating through conflicts and contentious claim issues among stakeholders.
  • Keep information confidential to protect operations.
Requirements:
  • Post-secondary education.
  • A minimum of five years' experience in Group Disability Insurance.
  • Strong knowledge of insurance principles and practices, industry standards, and legal and contractual obligations.
  • Exceptional communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
  • The demonstrated ability to use negotiating techniques to effectively resolve complex conflicts.
  • Superior time management and organizational skills to manage competing priorities, including project management skills.
  • Intermediate knowledge of Microsoft Office Suite applications.
  • Insurance courses are considered an asset.
  • The ability to communicate in French is considered an asset.
  • Valid driver's license is required.

We offer a comprehensive benefits package, including a defined benefit pension plan, 100% premium coverage for group benefits, and opportunities for professional development and advancement. If you are a motivated and experienced professional looking for a new challenge, 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.

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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