Disability Claims Examiner

2 weeks ago


Waterloo, Ontario, Canada Ontario Teachers Insurance Plan (OTIP) Full time
Job Title: Disability Claims Examiner

We are seeking a highly skilled Disability Claims Examiner to join our team at Ontario Teachers Insurance Plan (OTIP). As a Disability Claims Examiner, you will be responsible for reviewing and analyzing contractual and medical information on new long-term disability claims, while managing an ongoing block of active, complex claims.

Key Responsibilities:
  • Develop and implement case management plans for long-term disability and life waiver claims
  • Engage with members, affiliates, and stakeholders to provide timely and efficient follow-ups on decisions and rehabilitation opportunities
  • Ensure accurate and compliant information, meeting productivity, quality, and service goals
  • Provide ongoing education to members, affiliates, and stakeholders on LTD benefit processes and contractual requirements
  • Represent OTIP in examinations of discovery and work with Rehabilitation Consultants to support members in their return to work efforts
Qualifications:
  • Three to five years' experience in insurance or long-term disability claim adjudication
  • Post-secondary education in health sciences or a related field
  • CDMP (Certified Disability Management Professional) certification an asset
  • Strong understanding of insurance principles, 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
What We Offer:
  • Rewarding salary and bonuses that value your dedication
  • Industry-leading group benefits with 100% premium coverage
  • Defined benefit pension plan for a financially confident retirement
  • 100% coverage of approved continuing education and licensing fees
  • Access to a wealth of learning resources, including LinkedIn Learning
  • Flexible work-from-home and hybrid options

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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