Disability Claims Processor

The Disability Claims Processor is primarily responsible for calculating and issuing short and long-term disability benefit payments. The Disability Claims Processor determines benefit entitlement, completes the set-up of new claims on payment and management systems and assesses Quick Pay short term disability and Maintenance long term disability claims in accordance with contractual and corporate policy.

• At the direction of the Case Manager and in accordance with contractual provisions, calculate and issue short and long-term disability benefit payments.
• Perform overpayment calculations and follow up for repayment.
• Explain benefit calculations and payments to customers over the phone or in writing.
• For new claims, verify coverage and complete the claim set up including the initial benefit calculation, the waiver and reserve calculations, the diaries and the file.
• For Quick Pay short term disability claims, assess medical information, determine eligibility for benefits, calculate and issue payments.
• For maintenance of long-term disability claims, request and assess medical updates and follow up as required.
• Other duties as required including data verification and other resolving system discrepancies.

• Post-secondary education with a strong financial background or equivalent related experience;
• Excellent mathematical and analytical skills;
• Demonstrated organizational and time management skills;
• Excellent oral and written communication skills;
• Team player with demonstrated customer service skills;
• Proficient in using Microsoft (Outlook, Word, Excel) and possess the aptitude for learning additional industry-related software;
• Ability to remain flexible, work as part of a team as well as independently