Automotive technical specialist resolving vehicle arbitration claims for OPENLANE’s digital used - vehicle marketplace. Applying hands - on diagnostics, customer communication, and negotiation to settle disputes fairly.
About the role
- Bilingual LTD Case Manager adjudicating long-term disability claims at Disability Management Institute, ensuring excellent customer service throughout the process.
Responsibilities
- 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
- Draft and deliver written correspondence identifying claim activity and next steps
- Participate in claim conference calls with employers and team lead
- Work collaboratively with the Rehab Coordinator to minimize duration of absence and return claimants to work
- Maintain confidentiality over client and corporate records and medical claims information
- Operate automated claims payment system and performs manual calculations as required
Requirements
- Minimum 5 years of claims experience in a group insurance environment
- Minimum 3 years of experience adjudicating Long Term Disability claims
- Post-secondary degree or diploma or equivalent experience
- Familiarity with medical terminology and disability contract language an asset
- CEBS, CIP, or LOMA designations an asset
- Medical background an asset (i.e. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)
- Strong MS Office Skills
- Excellent analytical and letter writing skills, with attention to detail and accuracy
- Fluency in both French and English is required
Benefits
- generous paid time off including 3 weeks minimum vacation
- 26 long weekends a year through our much-loved Happy Friday program
- flexible work options including remote and hybrid schedules
- extended health and dental benefits
- RRSP matching
- wellness support, including comprehensive mental health resources
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