Disability Claims Case Manager

Claims Case Manager

Comma Recruitment are looking for a Claims Case Manager with 3 years Group Claims experience to adjudicate and manage short term and long term disability claims. Provide efficient and timely service to all key stakeholders. The majority of the caseload will be LTD claims

• Review claim forms, medical reports, investigation reports, contract provisions etc. and determine eligibility of claim
• Record inbound/outbound communication
• Provide written and verbal communication to claimants, clients, administrators, doctors, lawyers, other insurers, etc: re: claim inquiries and outcome
• Review claims with Medical Director and Legal Department as required
• Assess waiver of premium eligibility
• Develop and implement return to work strategies
• Interact and develop good relationship with several stakeholders to facilitate best results

Requirements:

• 3 years group claims experience
• Excellent written and verbal communication skills
• Excellent customer service
• Intermediate skills with Word and Excel
• Ability to multitask in a fast paced, performance driven environment
• Strong planning and organizing skills, with strong attention to detail
• Analytical thinker with proven problem solving skills
• Ability to adapt quickly and comfortably to change
• Good interpersonal skills
• Professional telephone etiquette
• Demonstrates a positive attitude and a desire to succeed
• Strong team player
• Completed or interested in working towards one or more industry courses and designations (e.g. ALHC, FLMI, GBA)

Please forward a resume to [email protected]