Senior Individual Disability Case Manager
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Job Description
Disability Senior Case Manager providing claims management for Individual Disability insurance products across Canada. Focus on maintaining superior customer service and managing complex claims processes.
Responsibilities:
- Establish and maintain superior customer service to policyholders, agents, marketing centers
- Manage ongoing claims by requesting further medical, financial documentation or investigations as required
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements
- Make decisions on claim benefit eligibility determination and communication decisions to stakeholders
- Document the claim file to ensure an accurate record of events that transpire in the claim handling
- Obtain proper file information and review with policy provisions to verify eligibility
- Accurately maintain claim records on system to ensure accuracy of reserve calculations
Requirements:
- University degree in any discipline or equivalent experience
- 2–3+ years of experience in claims adjudication, ideally in disability claims
- Strong customer service orientation with solid negotiation skills
- Excellent interpersonal skills, with strong oral and written English communication skills
- Strong working knowledge of medical conditions and terminology
- Good understanding of underwriting processes
- Strong analytical skills
Benefits:
- health insurance
- dental
- mental health
- vision
- short- and long-term disability
- life and AD&D insurance coverage
- adoption/surrogacy and wellness benefits
- employee/family assistance plans
- retirement savings plans
- vacation days
- personal days
- sick days
- statutory leaves of absence
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