STD Case Manager (16-Month Contract)

Disability Management Institute•,

3d•CA$60,000 - CA$72,000•Remote

About The Position

As a Short-Term Disability (STD) Case Manager (16-Month Contract), you will play a key role in delivering high-quality, compassionate disability management services to our clients and their employees. You will be responsible for adjudicating STD claims within established timeframes and in accordance with policy guidelines, while ensuring a positive and supportive experience for all stakeholders. In this role, you will contribute directly to our mission of providing timely, accurate, and client-focused disability solutions. This is a remote role within Canada. We are open to candidates across the country; however, you must work within our core business hours. Please note this is a 16-month term position.

Requirements

3+ years of claims experience in a group insurance environment.
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 (ie. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)

Nice To Haves

Experience in Long or Short term disability insurance preferred.
Familiarity with medical terminology and disability contract language an asset.
CDMP or LOMA designation (an asset)
Medical background an asset (ie. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)

Responsibilities

Process and manage all Short Term Disability claims, establishing eligibility, calculation of earnings and benefit levels, along with obtaining the necessary medical evidence within the required timelines.
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. Where appropriate liaise in a professional manner with insurance agencies, doctors, employees, management, lawyers…etc., ensuring that only allowable information is released to recognized recipients and that all information is released in writing.
Draft and deliver written correspondence identifying claim activity and next steps.
Participate in claim conference calls with employers.
Work collaboratively with early intervention team to minimize duration of absence and return claimants to work.
Ensure all necessary documentation is provided to the insurance carrier in order for them to process MTD/LTD claims.
Maintain confidentiality over client and corporate records and medical claims information.
Operate automated claims payment system and performs manual calculations as required. Following training period, a minimum of 95% accuracy is required.