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
Bilingual Coordinator providing administrative support for building automation services at Honeywell. Responsible for coordinating technician needs and supporting service supervisors in a hybrid work setting.
Mobile Mortgage Specialist Assistant supporting the mortgage sales team at TD by providing credit administration and customer service. Ensuring accuracy and aiding in business development while working remotely from home or a TD location.
Bilingual Nurse Case Manager supporting patients on specialty therapies at McKesson. Coordinating onboarding, education, and adherence support across the treatment journey in Ontario or Quebec.
Vice - President, Law and FCC Capital at FCC providing legal leadership in investments and compliance. Leading legal team for equity, fund, and debt matters while ensuring regulatory adherence.
SAP Integration and Support role managing and supporting various systems for CIMCO. Ensuring optimal performance and minimal downtime while providing user support and managing data.
Bilingual Disability Claims Adjudicator managing disability claims for Canadian clients. Supporting superior customer service and adjudicating claims across policyholder and specialist communications.
Bilingual Associate providing corporate card sales and service. Advising customers on credit card strategies and managing service inquiries in both French and English.
Bilingual Wellness Coordinator at Sleep Country Canada overseeing disability claims and benefits management. Ensuring compliance and providing support to associates regarding their leave and compensation.
Senior Associate at PwC specializing in cybersecurity and Privileged Access Management solutions. Delivering comprehensive security solutions and mentoring junior team members.