Life and Living Benefits Claims Adjudicator Disability Claims Full-Time Remote Remote At Disability Management Institute (DMI), we deliver innovative, end-to-end disability and absence management solutions that transform how employers support their teams. The Life and Living Benefits Claims Adjudicator will adjudicate Critical Illness, Accident and Serious Illness, Life, and Accidental Death and Dismemberment claims within established timeframes and within the scope of the policy, while ensuring excellent customer service. The Life and Living Benefits Claims Adjudicator will manage a caseload of new and ongoing claims, apply the appropriate policy provisions to render decisions, and keep claimants, beneficiaries, executors, and other stakeholders informed at every stage of the claim.

This is a remote role within Canada. Manage a caseload of new and ongoing Life and Living Benefit claims, ensuring service standards are met Interview claimants, beneficiaries, and employers to gather relevant claim information Process all claims in date order, in accordance with the agreed upon service standards for each client Assess claims for contractual eligibility, determine which plan provisions apply, and investigate accordingly Use available resources to assess medical information and policy, liaising professionally with insurance agencies, doctors, employees, management, lawyers, and other parties as needed Apply the appropriate policy provisions when reviewing claims and render a decision Provide proactive communication to claimants, beneficiaries, executors, legal representatives,



and other stakeholders on claim status and progression Draft and deliver written correspondence outlining claim activity and next steps Calculate and pay approved claims Maintain confidentiality of client and corporate records and medical claims information Minimum 5 years of claims experience in a group insurance environment Minimum 2 years of experience adjudicating Life and Living Benefit claims, including Critical Illness, Accident and Serious Illness, Life, and Accidental Death and Dismemberment Familiarity with medical terminology and Life insurance contract language, specifically surrounding Life and Living Benefits products Strong MS Office skills, with particular strength in Excel reporting CEBS, CIP, or LOMA designation is an asset Medical background is an asset Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. Beyond salary, we offer generous paid time off including 3 weeks minimum vacation, plus 26 long weekends a year through our much-loved Happy Friday program to help you balance life and work on your terms We provide flexible work options including remote and hybrid schedules, extended health and dental perks, RRSP matching, and wellness support, including comprehensive mental health resources Diversity, inclusion, and belonging aren’t just programs at DMI; they are our foundation.

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📌 Life and Living Benefits Claims Adjudicator (Calgary)
🏢 Manion Wilkins u0026 Associates
📍 Calgary