Bilingual LTD Claims Consultant
3 weeks ago
Company Overview
At OTIP RAEO, we believe that our employees are the driving force behind our success. As a Bilingual LTD Claims Consultant, you will play a critical role in providing exceptional service to our insured members throughout the long term disability claims process.
Key Responsibilities
- Provide service, support, and guidance to insured members throughout the LTD claims process, including the initial application.
- Guide insured members through the LTD appeal process by obtaining and coordinating appeal documentation and rationale.
- Assist insured members in obtaining other income replacement benefits, such as Canada Pension Plan (CPP) disability benefits.
- Build and maintain relationships with local and provincial unions, seeking to better understand their needs and establish trust.
- Establish a professional image of the organization for insured members, local unions, medical practitioners, and other stakeholders.
- Obtain a comprehensive understanding of medical information and corresponding claim decisions on file and provide insured members with detailed explanations.
- Adhere to documented service standards and identify opportunities for improvement.
- Coach and mentor other team members and contribute to the success of the department's objectives.
- Respond to stakeholder inquiries regarding the ongoing LTD claims process.
- Exercise tact and diplomacy to effectively resolve difficult situations.
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 ability to deal effectively with all levels of internal and external stakeholders
- Superior time management and organizational skills to manage competing priorities
- Intermediate knowledge of Microsoft Office Suite applications
What We Offer
- Best-in-class pension and benefits
- Total reward programs
- Comprehensive mental wellness supports
- Flexible work-from-home and hybrid options
- Opportunities for advancement
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