Job Title: Intake Case Manager (Disability Administrator)
Duration: 12 months
Location: Kitchener
Our Kitchener Group Disability Office is looking for an action-oriented individual with strong team building, relationship management, and problem solving skills to join its fast paced team as a Non Complex Short Term Disability (STD) Senior Disability Administrator.
In this role, you will be responsible for managing Non Complex STD claims from intake to resolution. The key accountabilities of this role are:
• The ability to build and maintain strong service relationships with plan members, plan sponsors, health care providers and internal partners;
• The ability to identify and efficiently gather outstanding claims assessment information
• A strong commitment to quality, accuracy and timeliness ;
• Strong written (emails, formal letters) and telephone communication skills as you develop relationships with key internal and external stakeholders;
• Impeccable time management and organizational skills.
Your responsibilities will include:
• Reviewing incoming STD claim applications against an established set of criteria;
• Identifying and following up for outstanding information;
• Initiating and maintaining frequent email and telephone contact with plan members and plan sponsors and health care providers;
• Applying contractual provisions to set up all STD claims using web-based software;
• Triaging claims through contractual, medical, functional and vocational analysis;
• Approving, paying and managing all Non Complex STD claims through executing established Non Complex claims management processes and principles;
• Transitioning Non Complex STD claims to Complex STD Case Managers or Long Term Disability (LTD) Case Managers as per established guidelines;
• Maintaining productive and collaborative relationships with internal partners to achieve and maintain client service deliverables;
• Prioritizing and re-prioritizing constantly conflicting demands with very tight turnaround times.
• Familiarity with medical terminology
• Demonstrated strength in attention to detail, particularly with numbers, spelling and grammar
• Excellent organization, prioritization and planning abilities
• Very strong written and telephone communication skills
• Strong ability to manage professional relationships with external and internal partners
• Flexible and able to cope with high workload volumes and conflicting deadlines
• Intermediate PC skills with MS Word, MS Excel
• Previous Group Disability Claims experience an asset