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About the role

  • STD Case Manager adjudicating short-term disability claims for DMI, a Canadian disability and absence-management provider. Managing medical evidence, benefit calculations, correspondence, and return-to-work coordination remotely.

Responsibilities

  • Process and manage all Short Term Disability claims
  • Establish eligibility and calculate earnings and benefit levels
  • Obtain necessary medical evidence within required timelines
  • Interview claimants and employers to gather relevant claim information
  • Process claims in date order according to client service standards
  • Assess diagnoses and treatment plans using available resources
  • Liaise professionally with insurance agencies, doctors, employees, management, and lawyers
  • Release only allowable information to recognized recipients and provide information in writing
  • Draft and deliver written correspondence identifying claim activity and next steps
  • Participate in claim conference calls with employers
  • Collaborate with the early intervention team to minimize absence duration and support return to work
  • Provide documentation to insurance carriers for MTD/LTD claim processing
  • Maintain confidentiality of records and medical claims information
  • Operate the automated claims payment system and perform manual calculations as required

Requirements

  • 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, e.g. Occupational Therapist, Kinesiology, Nursing, or Physiotherapist
  • Ability to work within core business hours
  • Minimum 95% accuracy required following the training period
  • Ability to maintain confidentiality of client and corporate records and medical claims information

Benefits

  • Generous paid time off including 3 weeks minimum vacation
  • 26 long weekends a year through the Happy Friday program
  • Flexible work options including remote and hybrid schedules
  • Wellness support, including comprehensive mental health resources
  • Clear career paths
  • Personalized learning
  • Leadership committed to investing in employee development
  • Diversity, inclusion, and belonging-focused workplace
  • Hiring-process accommodation support

Job title

Job type

Full Time

Experience level

Mid levelSenior

Salary

CA$60,000 - CA$72,000 per year

Degree requirement

Associate's Degree

Location requirements

RemoteCanada

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