Disability Specialist - Quality Assurance

What Youll Do:

Reporting to the Group Life and Disability Claims Quality Assurance Team Manager youll be responsible for conducting comprehensive quality assurance reviews for Group Life and Disability Claims (GL&DC) and LTD Services. This includes evaluating technical and system processes contractual case management and call observations. These reviews will be performed in alignment with the departments established contractual and administrative policies. The role also involves clearly communicating the results of these reviews to GL&DC staff both verbally and in writing. Additionally the Disability Specialist will participate as a member of the Appeal Committee as needed.

The core parts of your role will be to: 

• Works as a member of the Group Life and Disability Claims Quality Assurance team to conduct regular quality assurance audits of GL&DC staff as assigned in an efficient manner.
• Completes quality assurance reviews and provides results of technical case management and call observation audits in accordance with contractual and administrative policies established within the GL&DC department.
• Deliver timely quality assurance reviews.
• Effectively communicates quality assurance results and maintains confidentiality related to an individuals audit results.
• Liaises with the training team to identify trends best practices and training needs ensuring training and development initiatives are aligned with audit findings and organizational objectives.
• Works closely with the GL&DC management team related to an individuals results or to change the audit review focus as needed to meet the changing requirements of GL&DC business needs.
• Acts as a senior resource to GL&DC claims employees and managers. This may include providing input on complex claim situations contractual interpretation and assigned projects.
• Maintains technical knowledge by attending educational workshops reviewing publications.
• Supports change within GL&DC and works effectively in a team environment and contributes to overall team goals and workload management.
• The Disability Specialist will intermittently represent the claims business area as part of the Appeal Committee where they will be required to review appeal claims and discuss the case with other appeal committee members to render a final appeal decision.
• Performs other duties with competence as assigned.

Qualifications :

Lets Talk About You: 

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

Qualifications:

• A university degree or college diploma in a related subject.
• A minimum of five years experience in longterm disability claims adjudication in the insurance field.
• Strong knowledge related to long term disability claims management and payments insurance principles and practices industry standards and legal and contractual obligations.
• 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.
• Intermediate knowledge of Microsoft Office Suite applications.
• The ability to communicate in French is considered an asset.
  
  Working Conditions:
• Remote work arrangement.
• May be required to work overtime.

We also consider your potential. If you know you have what it takes to do the job but your experience doesnt exactly match the qualifications above we encourage you to apply and provide us with more details about why you think you would be a great fit.

Additional Information :

Some of the Perks We Offer:

We offer bestinclass pension and benefits total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Here are just some of the reasons youll love working here:

• Rewarding salary and bonuses that truly value your dedication
• Industryleading 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 workfromhome and hybrid options
• Unlock your potential with opportunities for advancement

Lets work together! If you are interested in this opportunity please apply online.

OTIP and its group of companies strive to create an accessible and inclusive work environment where everyone is treated with respect and dignity. Upon individual request we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities.

As a business we protect what matters most to our members. As an employer we value what matters most in our workplace. Together this includes fostering a diverse equitable and inclusive environment for all. We are committed to learning and evolving so we can continue to celebrate what makes us special. You are who you are and our differences are what make us unique.

We are an equal opportunity employer and encourage applications from all qualified individuals. We thank all applicants for their interest; however only candidates selected for an interview will be contacted.

#LIRemote #LIHybrid

Remote Work :

Yes

Employment Type :

Fulltime