STD Case Manager – 16-Month Contract

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

📋 Description

• Manage and process all Short Term Disability claims.

• Determine eligibility and compute earnings and benefit levels.

• Acquire necessary medical evidence within specified timelines.

• Conduct interviews with claimants and employers to collect pertinent claim information.

• Process claims in chronological order in accordance with client service standards.

• Evaluate diagnoses and treatment plans utilizing available resources.

• Communicate professionally with insurance agencies, medical professionals, employees, management, and legal representatives.

• Share only permissible information with authorized recipients and provide written documentation.

• Draft and send written correspondence outlining claim activities and subsequent steps.

• Engage in claim conference calls with employers.

• Work in conjunction with the early intervention team to reduce absence duration and facilitate return to work.

• Supply documentation to insurance carriers for MTD/LTD claim processing.

• Ensure confidentiality of records and medical claims information.

• Operate the automated claims payment system and perform manual calculations when necessary.

⛳️ Requirements

• Minimum of 3 years of claims experience within a group insurance setting.

• Preferred experience in Long or Short term disability insurance.

• Post-secondary degree or diploma, or equivalent experience is required.

• Familiarity with medical terminology and disability contract language is an asset.

• CDMP or LOMA designation is a plus.

• Medical background is advantageous, such as Occupational Therapist, Kinesiology, Nursing, or Physiotherapy.

• Must be able to work within core business hours.

• A minimum of 95% accuracy is required following the training period.

• Must maintain confidentiality of client and corporate records as well as medical claims information.

🏝️ Benefits

• Generous paid time off, including a minimum of 3 weeks of vacation.

• 26 long weekends annually through the Happy Friday program.

• Flexible work arrangements, including remote and hybrid schedules.

• Wellness support, featuring comprehensive mental health resources.

• Clear career advancement paths.

• Personalized learning opportunities.

• Leadership dedicated to investing in employee development.

• A workplace focused on diversity, inclusion, and belonging.

• Support for accommodations during the hiring process.