STD Case Manager

Position: STD Case Manager (12-Month Contract)
The Opportunity
As a  Short-Term Disability (STD) Case Manager (12-Month Contract),  you will play a key role in delivering high-quality, compassionate disability management services to our clients and their employees. You will be responsible for adjudicating STD claims within established time frames and in accordance with policy guidelines, while ensuring a positive and supportive experience for all stakeholders. In this role, you will contribute directly to our mission of providing timely, accurate, and client-focused disability solutions.

This is a  remote role within Canada.  We are open to candidates across the country; however, you must work within our core business hours.  Please note this is a 12-month term position .

What You'll Be Doing

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.

Interview claimants and employers to gather relevant claim information.

Ensure all claims are processed in date order, in accordance with the agreed upon service standards for each Client.

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.

Draft and deliver written correspondence identifying claim activity and next steps

Participate in claim conference calls with employers

Work collaboratively with early intervention team to minimize duration of absence and return claimants to work.

Ensure all necessary documentation is provided to the insurance carrier in order for them to process MTD/LTD claims.

Maintain confidentiality over client and corporate records and medical claims information.

Operate automated claims payment system and performs manual calculations as required. Following training period, a minimum of 95% accuracy is required.

What You Bring to the Team

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.

Medical background an asset (ie. Occupational Therapist, Kinesiology, Nursing, Physiotherapist)

You will succeed in this role if you are:

An Effective Communicator  - You communicate clearly and in a positive manner. You can interact with others to build relationships through tact and diplomacy, while navigating through difficult situations and conversations.

Client Centric  - You prioritize and take action based on the needs of both internal and external clients. You exhibit excitement, a positive can-do attitude and take ownership. You strive to consistently meet or exceed client expectations.

A Team Player  - You work with others to achieve individual, team, department, and organizational goals. You value diverse perspectives and work well with others to achieve the best possible outcome. You are committed to the team’s success and are focused on a common set of objectives.

An Innovator  - You think beyond the confines of tradition by seeking opportunities for new and better ways of doing things. You encourage experimentation and accept failure as a driver of innovation.

Compensation
At the time of this posting, the estimated annual base salary 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 and does…