Reports to
Director, Group Life and Disability Claims
Location
Waterloo, Ontario
Job Status
Permanent, Full-Time

Accountabilities:

  • Analyze medical, functional, employment and contractual information in order to make timely and accurate decisions on STD and LTD claims
  • Continually manage open STD and LTD claims using proficient problem solving and analytical skills and creating opportunities for timely resolution of the claim.
  • Calculate benefits payable and make adjustments as required throughout the course of the STD and LTD claims. (i.e. offset for CPP Disability Benefits and calculating overpayments, etc.)
  • Identify and implement cost effective case management tools to assist disabled employees (e.g. Rehabilitation Intervention, Functional Abilities Evaluations, Independent Medical Examinations, Medical Consultant Referrals)
  • Provide superior written and verbal customer service with accuracy and maintain well-documented, clear and concise files
  • Frequently communicate with plan sponsors, plan members, advisors, Group Marketing Managers, medical professionals, legal professionals
  • Actively participate in client meetings

Qualifications:

  • University degree or College Diploma preferred in health related field (i.e. nursing, occupational therapy, kinesiology, etc.) or experience adjudicating disability claims
  • Bilingual in French and English, both spoken and written is an asset
  • LTD or STD claims management experience preferred
  • Thorough knowledge of insurance operations
  • Proficient problem solving skills
  • Complex knowledge of various group contracts helpful
  • Computer literacy skills
  • Effective negotiating and conflict management skills
  • Excellent interpersonal and strong customer service skills
  • Mathematical & analytical skills

How to Apply

To apply for this position, please email your cover letter, including salary expectations, and resume in one MSWord document to resumes@equitable.ca

If applying to multiple positions, please apply to each position separately.