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STD Case Manager – 12-Month Contract
Disability Management Institute. Process and manage all Short-Term Disability claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing and managing Short-Term Disability claims, including eligibility assessment, medical evidence acquisition, and effective communication with stakeholders. Proficient in maintaining confidentiality and accuracy in claims processing within a group insurance environment.
Highest-signal resume keywords
Claims ProcessingShort-Term Disability InsuranceMedical TerminologyCEBS CertificationClient Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementEligibility AssessmentBenefit CalculationMedical Evidence GatheringAutomated Claims Payment SystemsManual CalculationsDiagnosis AssessmentDocumentation PreparationConfidentiality MaintenanceClient Service Standards
Soft Skills
Professional LiaisonInterviewing SkillsCollaborationWritten CommunicationAttention to Detail
Certifications & Qualifications
CEBSCIPLOMA
Industry Keywords
Group InsuranceDisability InsuranceMedical ClaimsOccupational TherapyKinesiologyNursingPhysiotherapy
About the role
Key responsibilities & impact- Process and manage all Short-Term Disability claims
- Establish eligibility and calculate earnings and benefit levels
- Obtain necessary medical evidence within required timelines
- Interview claimants and employers to gather relevant claim information
- Process claims in date order according to client service standards
- Assess diagnoses and treatment plans using available resources
- Liaise professionally with insurance agencies, doctors, employees, management, and lawyers
- Release allowable information only to recognized recipients and provide information in writing
- Draft and deliver written correspondence identifying claim activity and next steps
- Participate in claim conference calls with employers
- Collaborate with the early intervention team to minimize absence duration and support return to work
- Provide documentation to insurance carriers for MTD/LTD claim processing
- Maintain confidentiality of client and corporate records and medical claims information
- Operate automated claims payment systems and perform manual calculations
Requirements
What you’ll need- 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, or LOMA designation an asset
- Medical background an asset, such as Occupational Therapist, Kinesiology, Nursing, or Physiotherapy
- Must work within core business hours
- Following training, minimum 95% accuracy required
Benefits
Comp & perks- 3 weeks minimum vacation
- 26 long weekends a year through the Happy Friday program
- Flexible work options including remote and hybrid schedules
- Wellness support, including comprehensive mental health resources
- Clear career paths
- Personalized learning
- Leadership committed to investing in employee development
- Safe, respectful, and inclusive workplace
- Hiring-process accommodation support