STD Case Manager – 16-Month Contract
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Job Description
STD Case Manager adjudicating short-term disability claims for DMI, a Canadian disability and absence-management provider. Managing medical evidence, benefit calculations, correspondence, and return-to-work coordination remotely.
Responsibilities:
- Process and manage all Short Term Disability claims
- Establish eligibility and calculate earnings and benefit levels
- Obtain necessary medical evidence within required timelines
- Interview claimants and employers to gather relevant claim information
- Process claims in date order according to client service standards
- Assess diagnoses and treatment plans using available resources
- Liaise professionally with insurance agencies, doctors, employees, management, and lawyers
- Release only allowable information to recognized recipients and provide information in writing
- Draft and deliver written correspondence identifying claim activity and next steps
- Participate in claim conference calls with employers
- Collaborate with the early intervention team to minimize absence duration and support return to work
- Provide documentation to insurance carriers for MTD/LTD claim processing
- Maintain confidentiality of records and medical claims information
- Operate the automated claims payment system and perform manual calculations as 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, or Physiotherapist
- Ability to work within core business hours
- Minimum 95% accuracy required following the training period
- Ability to maintain confidentiality of client and corporate records and medical claims information
Benefits:
- Generous paid time off including 3 weeks minimum vacation
- 26 long weekends a year through the Happy Friday program
- Flexible work options including remote and hybrid schedules
- Wellness support, including comprehensive mental health resources
- Clear career paths
- Personalized learning
- Leadership committed to investing in employee development
- Diversity, inclusion, and belonging-focused workplace
- Hiring-process accommodation support
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