Disability Management Institute
Disability Management Institute
Disability Management Institute este un furnizor canadian de servicii B2B specializat în gestionarea absențelor de la locul de muncă, a dizabilităților și a despăgubirilor pentru accidente de muncă. De peste două decenii, compania sprijină angajatorii și angajații prin intervenție timpurie, gestionarea cererilor de despăgubire, reabilitare, consultanță în domeniul sănătății și securității, programe de menținere în activitate, servicii de sănătate mintală, instruire și sprijin pentru contestații. Activitatea sa acoperă domeniile sănătății, consultanței și logisticii, ajutând organizațiile să gestioneze costurile asociate cererilor de despăgubire, să reducă durata absențelor și să sprijine rezultate sigure pentru revenirea la locul de muncă.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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