Case Manager

This is a fully remote position, open to applicants in Canada.

📋 Description

• Evaluate Long Term Disability (LTD) claims adhering to established timelines and policy guidelines while prioritizing a client-first mentality.

• Conduct interviews with claimants and employers to collect pertinent information and make impartial, evidence-supported decisions.

• Oversee all claims in line with client-specific service standards and ensure that documentation is both accurate and timely.

• Leverage available resources to evaluate diagnoses and treatment plans, engaging professionally with physicians, employers, insurance entities, and legal representatives.

• Compose and send written communications summarizing claim activities, decisions, and subsequent steps.

• Engage in case conference calls with employers and internal team members.

• Work collaboratively with the Rehabilitation Coordinator to reduce absence duration and facilitate return-to-work strategies.

• Uphold strict confidentiality concerning client, corporate, and medical information.

⛳️ Requirements

• A minimum of 5 years of claims experience in a group insurance or similar environment.

• At least 3 years of experience in adjudicating Long Term Disability claims.

• A post-secondary degree or diploma, or an equivalent combination of education and experience.

• Knowledge of medical terminology and language pertaining to disability contracts.

• Professional designations such as CEBS, CIP, or LOMA are preferred.

• A background in a health-related field (e.g., Occupational Therapy, Kinesiology, Nursing, Physiotherapy).

🏝️ Benefits

• Generous paid time off — including at least 3 weeks of vacation and 26 long weekends each year through our popular Happy Friday program.

• Flexible working arrangements with remote options, extended health and dental coverage, RRSP matching, and wellness support — which includes extensive mental health resources.

• Defined career paths, tailored learning opportunities, and leadership dedicated to fostering your growth.