Senior Individual Disability Case Manager

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

📋 Description

• Provide and uphold exemplary customer service to policyholders, agents, and marketing centers.

• Oversee ongoing claims by gathering additional medical and financial documentation or conducting investigations as necessary.

• Assess claims and underwriting files to ensure accurate disclosure of medical history, exclusions, riders, and endorsements.

• Make determinations regarding claim benefit eligibility and communicate decisions to relevant stakeholders.

• Maintain thorough documentation of the claim file to ensure a precise record of all events occurring during the claims process.

• Acquire necessary file information and review it against policy provisions to confirm eligibility.

• Diligently manage claim records within the system to guarantee the accuracy of reserve calculations.

⛳️ Requirements

• A university degree in any field or equivalent experience.

• 2–3+ years of experience in claims adjudication, preferably in disability claims.

• A strong commitment to customer service with effective negotiation abilities.

• Exceptional interpersonal skills, along with strong oral and written communication abilities in English.

• Comprehensive knowledge of medical conditions and terminology.

• A solid understanding of underwriting processes.

• Strong analytical capabilities.

🏝️ 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