Disability Claims Specialist

7 days ago


Montreal, Quebec, Canada S.i. Systems Full time

At S.i. Systems, we are seeking a skilled Disability Claims Specialist to join our team as a Junior Disability Case Manager. This exciting role involves analyzing and monitoring medical management, with the goal of implementing effective rehabilitation plans for short-term disability claimants.

The successful candidate will report directly to the Associate Manager and be responsible for the analysis and adjudication of Short-Term Disability claims. This will involve reviewing contractual medical information, investigative data, and other relevant factors to make timely and sound disability determinations.

We are looking for an individual with 1+ year of experience in disability claims, who possesses a strong understanding of medical terminology, medical management, and pharmacology. Additionally, excellent written and verbal communication skills in both English and French are essential, as is the ability to provide technical direction and develop case management plans.

In this role, you will:

  • Conduct thorough assessments of STD disability claims
  • Provide technical guidance by identifying file development needs
  • Analyze key medical, contractual, and eligibility information
  • Develop and implement case management plans that identify direction, issues, and action steps
  • Review group contract provisions and submit medical information to identify discrepancies and inconsistencies

To be successful in this position, you must have a solid foundation in disability claims, medical terminology, and communication skills. We estimate the annual salary for this role to be around $65,000-$80,000, depending on location and experience.



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