STD Case Manager (12-Month Contract)

Disability Management Institute

8d • $60,000 - $72,000 • Remote

About The Position

As a Short-Term Disability (STD) Case Manager (12-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 12-month term position.

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.

Nice To Haves

• CEBS, CIP, 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.

Benefits

• Beyond salary, we offer generous paid time off including 3 weeks minimum vacation, plus 26 long weekends a year through our much-loved Happy Friday program to help you balance life and work on your terms
• We provide flexible work options including remote and hybrid schedules, and wellness support, including comprehensive mental health resources
• Clear career paths, personalized learning, and leadership committed to invest in your development

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 11-50 employees