Disability Management Institute
Disability Management Institute
51 – 200 Employees
ConsultingHealthcareLogistics
Disability Management Institute is a Canadian B2B provider specializing in workplace absence, disability, and workers’ compensation management. For more than two decades, the company has supported employers and employees through early intervention, claims management, rehabilitation, health and safety consulting, stay-at-work programs, mental health services, training, and appeals support. Its work spans healthcare, consulting, and logistics contexts, helping organizations manage claim-related costs, reduce absence duration, and support safe return-to-work outcomes.

Life and Living Benefits Claims Adjudicator

Adjudicate life and living benefits claims across Canada for Disability Management Institute’s disability and absence management services. Review coverage, communicate claim decisions, and manage an active caseload.

Description

  • Oversee new and ongoing life and living benefits claims while meeting service standards
  • Interview claimants, beneficiaries, and employers to collect relevant information
  • Process claims in date order in line with client service standards
  • Review contractual eligibility and identify applicable plan provisions
  • Investigate claims using medical records and policy resources
  • Coordinate with insurers, physicians, employees, managers, lawyers, and other parties
  • Apply policy terms and make claim decisions
  • Keep claimants, beneficiaries, executors, legal representatives, and other stakeholders informed
  • Prepare and send written updates on claim activity and next steps
  • Calculate and issue payments for approved claims
  • Protect the confidentiality of records and medical claim information

Requirements

  • At least five years of claims experience in group insurance
  • At least two years adjudicating life and living benefits claims, including critical illness, accident and serious illness, life, and accidental death and dismemberment
  • Post-secondary degree or diploma, or equivalent experience
  • Familiarity with medical terminology and life insurance contract language related to life and living benefits products
  • Strong Microsoft Office skills, particularly Excel reporting
  • CEBS, CIP, or LOMA designation is an asset
  • Medical background is an asset
  • Availability to work during the company’s core business hours
  • Ability to protect confidential client and corporate records and medical claim information

Benefits

  • At least three weeks of vacation
  • 26 long weekends per year through the Happy Friday program
  • Flexible remote and hybrid work options
  • Extended health and dental coverage
  • RRSP matching
  • Wellness support
  • Comprehensive mental health resources
  • Defined career paths
  • Personalized learning opportunities
  • Leaders committed to investing in employee development
  • Accommodation available at any stage of the hiring process

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