Group Long Term Disability Claims Specialist
4 weeks ago
We are seeking a highly skilled and detail-oriented Group Long Term Disability Claims Specialist to join our team. As a Group Long Term Disability Claims Specialist, you will be responsible for analyzing medical, functional, employment, and contractual information to make timely and accurate decisions on Long Term Disability (LTD) claims.
Key Responsibilities:- Analyze medical, functional, employment, and contractual information to make timely and accurate decisions on LTD claims
- Continually manage open LTD claims using proficient problem-solving and analytical skills and creating opportunities for timely resolution of the claim
- Calculate benefits payable and make adjustments as required throughout the course of the LTD claims
- Identify and implement cost-effective case management tools to assist disabled employees
- Provide superior written and verbal customer service with accuracy and maintain well-documented, clear, and concise files
- Frequently communicate with plan sponsors, plan members, advisors, Group Marketing Managers, medical professionals, and legal professionals
- Actively participate in client meetings
- Professionally communicate with and show empathy to our clients over the phone and email
- Utilize key problem-solving skills to make tough decisions on claims, clearly communicating these decisions with the client in a way that is easy to understand
- Showcase conflict resolution skills to de-escalate situations with unsatisfied clients
- Proficient English, spoken and written, is required
- 2+ years' STD and/or LTD claims management experience
- University degree or College Diploma preferred in health-related or disability management field or experience adjudicating disability claims
- Thorough knowledge of insurance operations
- Passion for problem-solving and thorough knowledge of insurance operations
- Complex knowledge of various group contracts would be helpful
- Effective negotiating and conflict management skills
- Excellent interpersonal and strong customer service skills
- Mathematical and analytical skills
- Demonstrated conflict management and professional de-escalation skills
- Deep-rooted personal boundaries and time management, with the ability to balance various priorities coming in at once
- Ability to break down difficult-to-understand concepts/decisions and explain in a way that is easy to understand for the client
- Proven ability to succeed in a dynamic environment with changing priorities
- Bilingual written and spoken, English/French, would be an asset
- A healthy work-life balance with employee wellness top of mind
- Annual bonus program, annual vacation allowance, and company-paid benefits program
- An additional paid volunteer day each year so you can spend time giving back to the community
- Immediate enrollment in the company's pension program with employer matching
- Employee resource groups that support an inclusive work environment
- Tuition support and specialized program assistance
- A company-subsidized cafeteria with a variety of daily options
- Discounts on company products and services, and access to exclusive employee perks
- Regular EQ Together events focused on company togetherness and collaboration
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