Group Life & Disability Claims Administrative Representative

OTIP (Ontario Teachers Insurance Plan) is a member-focused, service-driven organization. We are committed to putting our people first by fostering a positive and inclusive work environment, providing a competitive total compensation package and investing in career development. Our team is currently looking for a:

Group Life & Disability Claims Administrative Representative

• Processes and distributes daily incoming correspondence out to the department through the Fineos program while adhering to service level agreements. This includes reviewing, sorting, scanning and ingesting documents into the applicable claim subfolder
• Scans all documents by using our physical scanning machine or the online scanner as appropriate. Ensures efficient operation of the physical scanner which includes regular cleaning and maintenance. Notifies the IT Services desk when scanner is down.
• Monitoring and handling daily the teams shared email inbox. This includes responding to inquiries from member, service providers, union representatives, school board representatives and internal stakeholders. Documenting the Fineos file with all incoming emails and setting appropriate tasks.  
• Sets up new Notice of Prolonged Absence (NPA) documents as well as Long Term Disability (LTD) claims on Fineos after verifying coverage and investigating if previous claims existed.  
• Initiates payment of all Vendor invoices and Early Intervention invoices payable to members. Verifies the accuracy and eligibility of vendor and member LTD/EI/Rehab payments by reviewing the invoice tracker. Asking for approval on invoices that are above the administration authority levels.
• Accuracy while inputting members personal banking information while setting up direct deposit banking information.
• Managing workload volume on the claim management system, monitoring task turnaround times and due dates across the admin team.
• Responds to inquiries from internal staff by handling or by directing to the appropriate team.
• Coordinates retrieval, verification and shredding of documents which includes boxing and categorizing all incoming mail for easy reference. Purging these documents regularly which includes moving heavy boxes and identifying items to be shred.
• Responsible for training peers when onboarding new staff. This includes job shadow training and being available to answer questions.
• Maintains relations with current and previous insurance carriers by providing copies of claim files that are entering litigation or arbitration.
• Books accommodations for members’ independent medical exams, as requested.
• Maintains and updates the territory assignment report as changes are required.
• Maintains supplies inventory and printing of LTD claims kits. This includes checking stock to determine inventory levels, anticipating needed supplies, placing orders for supplies, verifying receipt of supplies, and distributing orders upon receipt.
• Keeps information confidential to protect operations.

• Minimum of one years’ post-secondary training in executive office administration, medical office administration or a related field.
• A minimum of 1 year experience in office administration or a related field.
• A strong attention to detail and respect to member privacy.
• Ability to work independently and in a team environment.
• Exceptional communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
• Strong analytical skills and the ability to investigate issues in order to determine where mail should belong.
• Superior time-management, project-management and organizational skills to manage competing priorities.
• Advanced knowledge of Microsoft Office Suite applications, adobe acrobat and related imaging software
• The ability to communicate in French is considered an asset.

What we offer:

• Competitive salary and bonus structure
• Industry-leading employer-paid group benefits that start on your first day
• Defined benefit pension plan
• 100% coverage of continuing education and licensing fees (including RIBO and AIC courses)
• Flexible work from home and hybrid options
• Opportunities for advancement

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 endeavour 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.

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