Disability Management Institute
Disability Management Institute
Disability Management Institute — жұмыс орнындағы жұмысқа келмеу, мүгедектік және өндірістегі жазатайым оқиғалар бойынша өтемақыны басқаруға маманданған канадалық B2B қызмет көрсетуші компания. Компания жиырма жылдан астам уақыт бойы жұмыс берушілер мен қызметкерлерге ерте араласу, талаптарды басқару, оңалту, еңбек қауіпсіздігі мен денсаулық сақтау бойынша кеңес беру, жұмысты жалғастыру бағдарламалары, психикалық денсаулық қызметтері, оқыту және шағымдарды қарау бойынша қолдау бағыттарында көмектесіп келеді. Оның қызметі денсаулық сақтау, консалтинг және логистика салаларын қамтып, ұйымдарға талаптарға байланысты шығындарды басқаруға, жұмысқа келмеу мерзімін қысқартуға және жұмысқа қауіпсіз оралу нәтижелерін қолдауға жәрдемдеседі.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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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