Disability Management Institute

Manager

• Adjudicate Long Term Disability (LTD) claims within established timeframes and policy guidelines while maintaining a client-first approach.
• Interview claimants and employers to gather relevant information and make fair, evidence-based decisions.
• Manage all claims in accordance with client-specific service standards and ensure documentation is accurate and timely.
• Utilize available resources to assess diagnoses and treatment plans, liaising professionally with physicians, employers, insurance agencies, and legal representatives.
• Draft and deliver written correspondence summarizing claim activity, decisions, and next steps.
• Participate in case conference calls with employers and internal team members.
• Collaborate closely with the Rehabilitation Coordinator to minimize absence duration and support return-to-work planning.
• Maintain strict confidentiality regarding client, corporate, and medical information.

Case Manager

• Process and manage all Short Term Disability claims, establishing eligibility, calculation of earnings and benefit levels, along with obtaining the necessary medical evidence within the required timelines
• Interview claimants and employers to gather relevant claim information
• Ensure all claims are processed in date order, in accordance with the agreed upon service standards for each Client
• Utilize available resources to assess diagnosis and treatment plans
• Where appropriate liaise in a professional manner with insurance agencies, doctors, employees, management, lawyers…etc., ensuring that only allowable information is released to recognized recipients and that all information is released in writing
• Draft and deliver written correspondence identifying claim activity and next steps
• Participate in claim conference calls with employers
• Work collaboratively with early intervention team to minimize duration of absence and return claimants to work
• Ensure all necessary documentation is provided to the insurance carrier in order for them to process MTD/LTD claims
• Maintain confidentiality over client and corporate records and medical claims information
• Operate automated claims payment system and performs manual calculations as required
• Following training period, a minimum of 95% accuracy is required

Case Manager

STD Case Manager – 15-Month Contract