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Case Manager
Disability Management InstituteLong Term Disability Case Manager at Disability Management Institute managing claims and providing support to claimants. Balancing empathy with policy accuracy and collaborating with various stakeholders.
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- Minimum 5 years of claims experience in a group insurance or related environment.
- Minimum 3 years of experience adjudicating Long Term Disability claims.
- Post-secondary degree or diploma, or equivalent combination of education and experience.
- Familiarity with medical terminology and disability contract language.
- Professional designations such as CEBS, CIP, or LOMA.
- Background in a health-related discipline (e.g., Occupational Therapy, Kinesiology, Nursing, Physiotherapy).
Benefits
Comp & perks- Generous paid time off — including a minimum of 3 weeks’ vacation and 26 long weekends each year through our much-loved Happy Friday program.
- Flexible work options with remote schedules, extended health and dental benefits, RRSP matching, and wellness support — including comprehensive mental health resources.
- Clear career paths, personalized learning opportunities, and leadership committed to investing in your growth.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims AdjudicationDocumentation ManagementEvidence-Based Decision MakingInterviewing SkillsReturn-to-Work Planning
Soft Skills
Client-First ApproachCollaborationConfidentiality Maintenance
Certifications
CEBSCIPLOMA