Disability Analyst

Summary

Join the OTIP Group of Companies (OGC) and contribute to their mission of delivering meaningful benefits support and service. As a Disability Analyst, you will be responsible for analyzing, investigating, and assessing disability claims, ensuring compliance with contractual and administrative policies. You will play a key role in developing case management plans for long-term disability (LTD) and life waiver claims, reviewing medical and contractual information, and engaging with members, affiliates, and other stakeholders. This role requires strong analytical skills, a deep understanding of insurance principles and practices, and the ability to work effectively in a team environment.

Requirements

• Three to five years’ experience in insurance or long-term disability claim adjudication
• Post-Secondary Education (diploma, degree or certificate) is required in health sciences or related field, such as nursing, physical therapy, occupational therapy and exercise physiology or kinesiology
• A strong understanding of insurance principles and practices, industry standards, legal and contractual obligations, and claims investigation and assessment procedures
• Intermediate knowledge of Microsoft Office Suite applications
• Ability to deal effectively with all levels of internal and external stakeholders
• Ability to multi-task and work in a dynamic and fast paced environment demonstrating superior oral and written communication skills, in addition to solid organizational skills

Responsibilities

• Responsible for key decisions and the development of specific case management plans on all long-term disability (LTD) and life waiver claims within an assigned caseload
• Review and analyzes contractual and medical information on new LTD claims, while managing an ongoing block of active, complex LTD claims
• Solid understanding of contract wording, ability to analyze contractual, medical, functional and vocational information
• Engages in professional interactions with members, affiliates, boards and other stakeholders, on a regular basis regarding decisions, rehabilitation opportunities as well as timely and efficient follow-ups to telephone and email communications
• Ensures information is accurate and meets productivity, quality and service goals
• Provides regular ongoing education to members, affiliates, boards and other stakeholders, regarding LTD benefit processes and contractual requirements
• When required, attends and represents OTIP in examinations of discovery
• Works in partnership with the Rehabilitation Consultants to support members in their return-to-work efforts
• Works in partnership with Disability Benefits Coordinators to obtain claim information, ensure benefit payments are accurate, and approvals and terminations are processed in a timely manner
• Utilizes internal and external resources, such as medical consultants, lawyers, vocational and functional rehabilitation specialists, WSIB assessors and technical experts, as necessary, to progress files forward to resolution
• Assists teammates and provides backup coverage as required
• Keeps claims information confidential to protect operations
• Performs other duties within competence, as assigned

Preferred Qualifications

• CDMP (Certified Disability Management Professional) will be considered an asset
• The ability to communicate in French will be considered an asset

Benefits

• Rewarding salary and bonuses that truly value your dedication
• Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
• Defined benefit pension plan for a financially confident retirement
• 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)
• Access to a wealth of learning resources, including LinkedIn Learning for professional development
• Flexible work-from-home and hybrid options
• Unlock your potential with opportunities for advancement