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Disability Payment Specialist

4 months ago

Waterloo, Canada Ontario Teachers Insurance Plan (OTIP) Full time
Job Description

What You’ll Do:

The Disability Benefits Payment Specialist is responsible for reviewing and setting up new disability and life waiver claims, verifying members’ eligibility, calculating disability benefits, and processing payments. They are also the primary contact with School Boards and responsible for addressing Member enquiries about the LTD claim status and policy provisions.

  • Calculates and processes disability payments.
  • Investigates and obtains necessary information for calculations, ensuring accurate disability benefits are calculated. Reviews policy contracts and information provided by the plan administrator to calculate the benefit elimination period and benefit adjustments. Calculations include rehabilitation, all-source maximum, offset, cost of living, appeal retroactive payments over and under-payments, and true-ups.
  • Sets up and reviews disability new claims and life waivers to ensure all documents have been submitted and completed properly for processing. This includes verifying eligibility and corresponding with appropriate parties for outstanding information.
  • Is responsible for ensuring claim systems are updated with accurate financial information for the Disability Life reserve feed.
  • Provides information to school board and union plan administrators, members, affiliates and other members of the Group Life and Disability Claims department which includes verifying claim information and responding to various inquiries and information requests.
  • Completes follow-up on LTD matters by contacting appropriate parties via letter, email or telephone.
  • Handles and manages telephone inquiries from Members regarding their long-term disability benefits and claim status through the GL&DC telephone queue.
  • Maintains a comprehensive log and diary system to track payments, follow-ups, calculations, and claim status.
  • Reviews group policies and departmental manuals to accurately apply contractual provisions and claims administration processes.
  • Prepares and processes responses to Members, Unions and School Board representatives in accordance with established standards.
  • Initiates the new claim application process, which includes coordinating, preparing and distributing claims kits.
  • Responsible for the Canada Pension Plan (CPP) disability application process.
  • Keeps LTD claim information confidential to protect operations.

Qualifications

Let’s Talk About You: 

This is the unique blend of skills and experience we would love to see in an ideal candidate:

  • Three to five years’ experience in short term or long-term group disability claims insurance and understanding of policy language and application.
  • Experience in short- or long-term disability calculations and payments.
  • A strong ability for mathematical calculations/applications and successful completion of a mathematical aptitude test.
  • Intermediate knowledge of Microsoft Office Suite applications.
  • Exceptional communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
  • Superior time management and organizational skills to manage competing priorities, including project management skills.
  • Post-secondary diploma or degree or equivalent business experience 
  • Ability to Speak in English and French would be considered an asset

We also consider your potential. If you know you have what it takes to do the job, but your experience doesn’t exactly match the qualifications above, we encourage you to apply and provide us with more details about why you think you would be a great fit.



Additional Information

Some of the Perks We Offer:

We offer best-in-class pension and benefits, total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Here are just some of the reasons you’ll love working here:

  • Rewarding salary and bonuses that truly value your dedication
  • Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
  • Defined benefit pension plan for a financially confident retirement
  • 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)
  • Flexible work-from-home and hybrid options
  • Unlock your potential with opportunities for advancement

Let’s work together If you are interested in this opportunity, 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.

As a business, we protect what matters most to our members. As an employer, we value what matters most in our workplace. Together, this includes fostering a diverse, equitable and inclusive environment for all. We are committed to learning and evolving so we can continue to celebrate what makes us special. You are who you are, and our differences are what make us unique.

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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