Disability Management Institute
Disability Management Institute
Disability Management Institute je kanadski ponudnik B2B storitev, specializiran za upravljanje odsotnosti z delovnega mesta, invalidnosti in odškodnin za poškodbe pri delu. Že več kot dve desetletji podpira delodajalce in zaposlene z zgodnjim ukrepanjem, upravljanjem zahtevkov, rehabilitacijo, svetovanjem na področju zdravja in varnosti, programi za ohranjanje zaposlitve, storitvami na področju duševnega zdravja, usposabljanjem in podporo pri pritožbah. Njegovo delo zajema področja zdravstva, svetovanja in logistike ter organizacijam pomaga upravljati stroške, povezane z zahtevki, skrajšati trajanje odsotnosti in podpirati varen povratek na delo.

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.

Opis

  • 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

Zahteve

  • 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

Ugodnosti

  • 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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