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

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