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STD Case Manager – 15-Month Contract
Disability Management InstituteCase Manager processing Short Term Disability claims, ensuring a compassionate experience for clients. Delivering high-quality disability management services and collaborating with various stakeholders.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
claims processingeligibility determinationearnings calculationbenefit level calculationmedical evidence assessmentautomated claims payment systemmanual calculationsmedical terminologydisability contract language
Soft Skills
interviewingcommunicationcollaborationconfidentialityprofessionalismorganizational skillsattention to detail
Certifications & Qualifications
CDMPLOMA
Industry Keywords
Short Term DisabilityLong Term Disabilitygroup insuranceclaims experiencemedical claimsearly interventionabsence management
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 3+ years of claims experience in a group insurance environment
- Experience in Long or Short term disability insurance preferred
- Post secondary degree or diploma or equivalent experience
- Familiarity with medical terminology and disability contract language an asset
- CDMP or LOMA designation (an asset)
- Medical background an asset (ie. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)
Benefits
Comp & perks- generous paid time off including 3 weeks minimum vacation
- plus 26 long weekends a year through our much-loved Happy Friday program
- flexible work options including remote and hybrid schedules
- wellness support, including comprehensive mental health resources
- clear career paths, personalized learning, and leadership committed to invest in your development
- diversity, inclusion, and belonging as our foundation