Bilingual Disability Payment Specialist

Bilingual Disability Benefits Payment Specialist

Group Life & Disability  Waterloo, ON

With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.

At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization: they bring their best to work every day. And that's why we mean it when we say we put our people at the center of everything we do.

Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service.

What You’ll Do:

Reporting to the Manager, GL&DC - Disability Benefits Coordination, you’ll be responsible for reviewing and setting up new disability and life waiver claims, verifying members’ eligibility, calculating disability benefits, and processing payments. They are also the primary contact with School Boards and responsible for addressing Member enquiries about the LTD claim status and policy provisions.

The core parts of your role will be to:

• Calculates and processes disability payments.
• Investigates and obtains necessary information for calculations, ensuring accurate disability benefits are calculated. Reviews policy contracts and information provided by the plan administrator to calculate the benefit elimination period and benefit adjustments. Calculations include rehabilitation, all-source maximum, offset, cost of living, appeal retroactive payments over and under-payments, and true-ups.
• Sets up and reviews disability new claims and life waivers to ensure all documents have been submitted and completed properly for processing. This includes verifying eligibility and corresponding with appropriate parties for outstanding information.
• Is responsible for ensuring claim systems are updated with accurate financial information for the Disability Life reserve feed.
• Provides information to school board and union plan administrators, members, affiliates and other members of the Group Life and Disability Claims department which includes verifying claim information and responding to various inquiries and information requests.
• Completes follow-up on LTD matters by contacting appropriate parties via letter, email or telephone.
• Handles and manages telephone inquiries from Members regarding their long-term disability benefits and claim status through the GL&DC telephone queue.
• Maintains a comprehensive log and diary system to track payments, follow-ups, calculations, and claim status.
• Reviews group policies and departmental manuals to accurately apply contractual provisions and claims administration processes.
• Prepares and processes responses to Members, Unions and School Board representatives in accordance with established standards.
• Initiates the new claim application process, which includes coordinating, preparing and distributing claims kits.
• Responsible for the Canada Pension Plan (CPP) disability application process.
• Keeps LTD claim information confidential to protect operations.
• Performs other duties within competence, as assigned.

Let’s Talk

About You:

This is the unique blend of skills and experience we would love to see in an ideal candidate:

• Post-secondary diploma or degree or equivalent business experience
• Three to five years’ experience in short term or long-term group disability claims insurance and understanding of policy language and application.
• Experience in short- or long-term disability calculations and payments.
• A strong ability for mathematical calculations/applications and successful completion of a mathematical aptitude test
• Intermediate knowledge of Microsoft Office Suite applications.
• Exceptional communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
• Superior time management and organizational skills to manage competing priorities, including project management skills.
• The ability to communicate fluently in both English and French is required.

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