Ellement Consulting Group (Ellement) is a privately owned actuarial consulting firm founded in 1996. We deliver actuarial, administration, software, and consulting solutions for pension, benefits, and investment programs across Canada, serving individuals, corporations, unions, associations, and government organizations.
Position Summary
The Disability Case Manager is responsible for managing short-term disability (STD) claims from intake through resolution. This role involves assessing functional abilities, determining eligibility, coordinating medical care, and facilitating safe and timely return-to-work outcomes.
Success in this role requires strong analytical skills, effective communication, and a client-focused approach.
Location
This is a full time, on-site position based in our Vaughn office.
Key Responsibilities
Review short-term disability applications to determine eligibility based on medical and policy criteria
Ensure all required documentation is complete and accurate for claim adjudication
Evaluate claims through communication with claimants, employers, and healthcare providers
Assess functional abilities and support return-to-work planning
Coordinate timely medical assessments and treatment plans
Communicate claim decisions clearly, both verbally and in writing
Resolve client inquiries and issues promptly and professionally
Manage claims throughout the lifecycle until resolution or transition to long-term case management
Calculate and issue accurate benefit payments
Maintain precise records of weekly and monthly disability payments
Coordinate premium waivers with insurance providers
Maintain professional, confidential communication with all stakeholders
Manage an assigned caseload and develop expertise in specific client groups
Collaborate with internal teams across Ellement divisions
Support additional projects and administrative duties as required
Education
Bachelor's degree or diploma in a health-related field (preferred)
Experience
Minimum 2 years of experience in:
Disability case management
Benefits administration
Claims adjudication or healthcare-related roles
Skills & Competencies
Strong understanding of medical and mental health conditions
Excellent analytical and decision-making abilities
Strong numerical and calculation skills
Ability to manage multiple priorities in a fast-paced environment
High attention to detail and organizational skills
Strong conflict resolution and problem-solving skills
Excellent verbal and written communication
Language Requirements
Candidates must be fluent in both English and French (spoken and written).