STD Case Manager – 15-Month Contract

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, and other parties, 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 the 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 perform manual calculations as required
• Following training period, a minimum of 95% accuracy is 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, physiotherapist)