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Long Term Disability Claims Adjudicator (Barrie, ON)

Reference ID: 417

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Disability Management Institute (DMI)offers small and medium sized employers flexible innovative solutions to their disability management needs.Our specialties include: WCB/WSIB Claims Management, Self Funded Sick Leave Adjudication and Non Occupational Absence Management, Return to Work Planning and Disability Management. Ranging in size from 5-2500 employees our clients span the public and private sectors and cover a wide range of industries.

We are currently looking to add aLong Term Disability Claims Adjudicatorto our team inBarrie, Ontario. This position will adjudicate long term disability claims within established time-frames and within the scope of the policy while ensuring excellent client service.

Outcomes
  • Identify a raving fan of your work within30days
  • Manage a caseload of new and ongoing long term disability files.
  • Provide proactive communication to claimants to keep them apprised of claim status updates and claim progression ensuring service standards are met.
  • Triage claims for rehab potential, return to work and case management plans developed in concert with the early intervention team.
    Apply the policy specific provisions and complete the required reviews.


Responsibilities
  • Assess eligibility for benefits in accordance with policy and within established timeframes.
  • Interview claimants and employers to gather relevant claim information.
  • Ensure accuracy of benefit payment calculations and payments.
  • Assess files for continued eligibility and payment.
  • Utilize available resources to assess diagnosis and treatment plans, where appropriate liaise with medical professionals.
  • Draft and deliver written correspondence identifying claim activity and next steps
  • Participate in claim conference calls with employers and team lead.
  • Work collaboratively with early intervention team to minimize duration of absence and return claimants to work.

Education and Experience
  • 2-5 years experienceas a disability claims adjudicator in either short term or long term claims (STD/LTD)
  • Completion of post secondary education and familiarity with medical terminology and disability contract language.
  • CIP or LOMA designations an asset.

The Perks

In addition to becoming part of a creative, challenging, and stimulating work environment, we also offer:

  • a competitive salary
  • an excellent benefits plan
  • flex time
  • education assistance
  • participation in our Happy Friday program
  • access to our Group DPSP plan

We thank everyone who applies to theLong Term Disability Claims Adjudicator role; however, due to the volume of applications we receive we are only able to contact candidates who have been selected for an interview.

















LTD; Claims Adjudicating; Long Term Disability
We are currently looking to add aLong Term Disability Claims Adjudicatorto our team inBarrie, Ontario. This position will adjudicate long term disability claims within established time-frames and within the scope of the policy while ensuring excellent client service.

Posted: December 10, 2018
Closes: February 8, 2019
Email Address:
Company Info
Size:
51-200 employees
Industry:
Technology
Insurance

Connect with employer:

About GroupHEALTH Benefit Solutions

In every industry there is a company that thinks, and does things, differently. In employee group benefits, GroupHEALTH Benefit Solutions® is that company. Innovative and customer-focused, we...