STD Case Manager
Top Benefits
About the role
STD Case Manager
Who We Are
Disability Management Institute (DMI) offers small and medium sized employers flexible innovative solutions to their disability management needs. Our specialties include: WCB/WSIB Claims Management, Self-Funded Sick Leave Adjudication, and Non Occupational Absence Management, Return to Work Planning, Disability Management, and STD, MTD, and LTD Claims Management. Ranging in size from 5-2500 employees our clients span the public and private sectors and cover a wide range of industries.
The Opportunity
We are currently looking for a Short Term Claims Disability (STD) Case Manager to join our team, working remotely in Canada. The role will adjudicate Short Term disability claims within established timeframes and within the scope of the policy while ensuring excellent customer service.
What You'll Be Doing
- You will manage a caseload of new and ongoing short term disability files.
- You will process and manage all Short Term Disability claims, establishing eligibility, calculation of earnings and benefit levels, along with obtaining the necessary medical evidence within the required timelines
- You will interview claimants and employers to gather relevant claim information.
- You will ensure all claims are processed in date order, in accordance with the agreed upon service standards for each Client.
- You will utilize available resources to assess diagnosis and treatment plans. Where appropriate liaise in a professional manner with insurance agencies, doctors, employees, management, lawyers…etc., ensuring that only allowable information is released to recognized recipients and that all information is released in writing.
- You will draft and deliver written correspondence identifying claim activity and next steps
- You will participate in claim conference calls with employers
- You will work collaboratively with early intervention team to minimize duration of absence and return claimants to work.
- You will ensure all necessary documentation is provided to the insurance carrier in order for them to process MTD/LTD claims.
- You will maintain confidentiality over client and corporate records and medical claims information.
- You will operate automated claims payment system and performs manual calculations as required. Following training period, a minimum of 95% accuracy is required.
- You will manage a caseload of new and ongoing short term disability files.
- You will triage claims for rehab potential, return to work and case management plans developed in concert with the early intervention team.
- You will prepare long duration claim files for transition to long term disability carrier
What You Bring
- 3+ years of claims experience in a group insurance environment. Experience in Long or Short term disability insurance preferred.
- Post secondary degree or diploma or equivalent experience. Familiarity with medical terminology and disability contract language an asset.
- CEBS, CIP, LOMA designation (an asset)
- Medical background an asset (ie. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)
- Claims Adjudication experience
- Must possess excellent Customer Service Skills
- Strong MS Office Skills
- Excellent analytical and letter writing skills, with attention to detail and accuracy
- Keeps abreast of industry and government requirements. (CPP/QPP, WCB/WSIB, CSST, EI, Provincial Auto Insurance, etc.)
Compensation
At the time of this posting, the estimated annual base salary pay range for this position is $60,000-$72,000. Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. This range reflects the annual base salary only pay and does not encompass our comprehensive total rewards, benefits, and potential bonuses that we proudly offer.
Why DMI is the Place for You
- Beyond salary, we offer generous paid time off including 3 weeks minimum vacation, plus 26 long weekends a year through our much-loved Happy Friday program to help you balance life and work on your terms
- We provide flexible work options including remote and hybrid schedules, extended health and dental benefits, RRSP matching, and wellness support, including comprehensive mental health resources
- Clear career paths, personalized learning, and leadership committed to invest in your development
Belonging Starts Here
Diversity, inclusion, and belonging aren’t just programs at DMI; they are our foundation. We foster a safe, respectful, and inclusive workplace where everyone belongs and can thrive. If you need accommodation during any stage of the hiring process, please let us know! We’re here to help.
About Disability Management Institute
Since 2002, Disability Management Institute has been providing comprehensive claims management and claims review services to clients throughout Canada in both the public and private sector and to national insurance companies.
No matter your location, industry, or needs, DMI has the experience and dedication you need. We provide immediate and professional service and help you manage claims to get back to a healthy, productive workplace as quickly and efficiently as possible. By handling disability claims from start to finish, 91% of our direct clients have received savings that exceeded the cost of our services.
Our specialties: • Stay At Work Services • Claim Review Services for Self-Insured Plans • Early Intervention Programs • WCB Claims Management Services • Adjudication on Disability and Specialty Group Insurance Claims • Rehabilitation and Assessment Services
Call our Sales Team at 1-866-963-9995 to discover how you can save on our services too or visit: https://www.disabilityinstitute.com/ for more information.
STD Case Manager
Top Benefits
About the role
STD Case Manager
Who We Are
Disability Management Institute (DMI) offers small and medium sized employers flexible innovative solutions to their disability management needs. Our specialties include: WCB/WSIB Claims Management, Self-Funded Sick Leave Adjudication, and Non Occupational Absence Management, Return to Work Planning, Disability Management, and STD, MTD, and LTD Claims Management. Ranging in size from 5-2500 employees our clients span the public and private sectors and cover a wide range of industries.
The Opportunity
We are currently looking for a Short Term Claims Disability (STD) Case Manager to join our team, working remotely in Canada. The role will adjudicate Short Term disability claims within established timeframes and within the scope of the policy while ensuring excellent customer service.
What You'll Be Doing
- You will manage a caseload of new and ongoing short term disability files.
- You will process and manage all Short Term Disability claims, establishing eligibility, calculation of earnings and benefit levels, along with obtaining the necessary medical evidence within the required timelines
- You will interview claimants and employers to gather relevant claim information.
- You will ensure all claims are processed in date order, in accordance with the agreed upon service standards for each Client.
- You will utilize available resources to assess diagnosis and treatment plans. Where appropriate liaise in a professional manner with insurance agencies, doctors, employees, management, lawyers…etc., ensuring that only allowable information is released to recognized recipients and that all information is released in writing.
- You will draft and deliver written correspondence identifying claim activity and next steps
- You will participate in claim conference calls with employers
- You will work collaboratively with early intervention team to minimize duration of absence and return claimants to work.
- You will ensure all necessary documentation is provided to the insurance carrier in order for them to process MTD/LTD claims.
- You will maintain confidentiality over client and corporate records and medical claims information.
- You will operate automated claims payment system and performs manual calculations as required. Following training period, a minimum of 95% accuracy is required.
- You will manage a caseload of new and ongoing short term disability files.
- You will triage claims for rehab potential, return to work and case management plans developed in concert with the early intervention team.
- You will prepare long duration claim files for transition to long term disability carrier
What You Bring
- 3+ years of claims experience in a group insurance environment. Experience in Long or Short term disability insurance preferred.
- Post secondary degree or diploma or equivalent experience. Familiarity with medical terminology and disability contract language an asset.
- CEBS, CIP, LOMA designation (an asset)
- Medical background an asset (ie. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)
- Claims Adjudication experience
- Must possess excellent Customer Service Skills
- Strong MS Office Skills
- Excellent analytical and letter writing skills, with attention to detail and accuracy
- Keeps abreast of industry and government requirements. (CPP/QPP, WCB/WSIB, CSST, EI, Provincial Auto Insurance, etc.)
Compensation
At the time of this posting, the estimated annual base salary pay range for this position is $60,000-$72,000. Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. This range reflects the annual base salary only pay and does not encompass our comprehensive total rewards, benefits, and potential bonuses that we proudly offer.
Why DMI is the Place for You
- Beyond salary, we offer generous paid time off including 3 weeks minimum vacation, plus 26 long weekends a year through our much-loved Happy Friday program to help you balance life and work on your terms
- We provide flexible work options including remote and hybrid schedules, extended health and dental benefits, RRSP matching, and wellness support, including comprehensive mental health resources
- Clear career paths, personalized learning, and leadership committed to invest in your development
Belonging Starts Here
Diversity, inclusion, and belonging aren’t just programs at DMI; they are our foundation. We foster a safe, respectful, and inclusive workplace where everyone belongs and can thrive. If you need accommodation during any stage of the hiring process, please let us know! We’re here to help.
About Disability Management Institute
Since 2002, Disability Management Institute has been providing comprehensive claims management and claims review services to clients throughout Canada in both the public and private sector and to national insurance companies.
No matter your location, industry, or needs, DMI has the experience and dedication you need. We provide immediate and professional service and help you manage claims to get back to a healthy, productive workplace as quickly and efficiently as possible. By handling disability claims from start to finish, 91% of our direct clients have received savings that exceeded the cost of our services.
Our specialties: • Stay At Work Services • Claim Review Services for Self-Insured Plans • Early Intervention Programs • WCB Claims Management Services • Adjudication on Disability and Specialty Group Insurance Claims • Rehabilitation and Assessment Services
Call our Sales Team at 1-866-963-9995 to discover how you can save on our services too or visit: https://www.disabilityinstitute.com/ for more information.