Disability Claims Specialist, Group Insurance

RBC Insurance Group; Halifax; Hybrid; CAD 60,000 - 80,000; Full time

Job summary

A leading insurance company in Halifax is seeking a Disability Claims Specialist to manage group disability claims effectively while ensuring superior client service. You will adjudicate claims, manage caseload, and apply risk management strategies. Ideal candidates should have a relevant educational background and at least 2 years of experience in claims adjudication. Competitive compensation and flexible working options are offered.

Benefits

Flexible benefits

Work/life balance options

Career development programs

Qualifications

• Minimum 2 years of Short Term or Long-Term Disability claims adjudication experience.
• Fluency in English, both oral and written.
• Strong analytical, critical thinking, and decision-making skills.

Responsibilities

• Adjudicate claims using a multidisciplinary model while complying with policies.
• Provide high-level customer service and manage reputational risk.
• Effectively communicate decisions to employers and claimants.

Skills

Active Learning

Critical Thinking

Customer Service

Education

Post-secondary education in healthcare or related field

Job description

Disability Claims Specialist, Group Insurance

Disability Claims Specialist, Group Insurance

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What is the opportunity?

The role is available in the following provinces : Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island.

As a Disability Claims Specialist, you will adjudicate and manage Group disability claims in a team-oriented, multi-disciplinary, and digital environment. You will be responsible for ensuring claims are adjudicated and paid in accordance with policy and unit procedures, while delivering superior client service. You will be required to apply appropriate risk management strategies which impact the company’s financial results, reputation and regulatory risks, client relationships, and business retention.

Job Summary

Job Description

What is the opportunity?

The role is available in the following provinces : Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island.

As a Disability Claims Specialist, you will adjudicate and manage Group disability claims in a team-oriented, multi-disciplinary, and digital environment. You will be responsible for ensuring claims are adjudicated and paid in accordance with policy and unit procedures, while delivering superior client service. You will be required to apply appropriate risk management strategies which impact the company’s financial results, reputation and regulatory risks, client relationships, and business retention.

What will you do?

• Adjudicate claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with policy provisions, procedures and regulatory requirements
• Provide the highest level of customer service and manage reputational risk
• Manage a large caseload of disability claims, calculate benefit payments and implement claims management and return to work strategies
• Render decisions on a timely basis and effectively communicate these decisions, at times potentially difficult decisions and manage escalations with employers and claimants.
• Document and implement the appropriate next steps while effectively applying the adjudication process
• Build effective relationships with key stakeholders and claimants to support recovery and return to work
• Given the very sensitive nature of the information gathered in the adjudication process, extreme care must be exercised in the handling of a claim in order to guard against any breach of confidentiality
• Effectively communicate and build rapport with team members, stakeholders and business partners using a variety of techniques and collaboration from claim initiation to resolution

What will you need to succeed?

Must-have

Post-secondary education, preferably in healthcare or a related field, and minimum 2(two) years of Short Term or Long-Term Disability claims adjudication experience

Fluency in English, both oral and written

Strong analytical, critical thinking and decision-making skills, with the ability to multitask and balance multiple goals and priorities

Excellent customer service and telephone skills with the ability to communicate complex and difficult information with professionalism and empathy, including phone calls with client who may be emotional or have mental health conditions

Ability to work independently in a structured environment, with proven time management, organizational and problem-solving skills

Must be able to meet the technological and confidentiality requirements of the role (i.e., private, and quiet space, Internet connectivity, etc.)

What's in it for you?

We thrive on the challenge to be our best, progressive thinking to keep growing, and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other, reaching our potential, making a difference to our communities, and achieving success that is mutual.

A Total Rewards program that includes flexible benefits, work / life balance and career development programs and investment and retirement savings plans

Competitive pay and high-earning potential

All the tools, training, and team support you need to grow your career

Flexible work / life balance options

Sophisticated RBCI software tools to boost your productivity

RBC is committed to supporting flexible work arrangements when and where available. Details to be discussed with Hiring Manager

Job Skills

Active Learning, Coverage Analysis, Critical Thinking, Customer Service, Insurance Claims Investigations, Insurance Operations, Insurance Product Development, Knowledge of Claims, Long Term Planning, Settlement Negotiations

Additional Job Details

Address :

MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR : MISSISSAUGA

City : MISSISSAUGA

Country : Canada

Work hours / week : 37.5

Employment Type : Full time

Platform : INSURANCE

Job Type : Regular

Pay Type : Salaried

Posted Date : 2025-07-15

Application Deadline :

2025-07-31

Note : Applications will be accepted until 11 : 59 PM on the day prior to the application deadline date above

I nclusion and Equal Opportunity Employment

At RBC, we believe an inclusive workplace that has diverse perspectives is core to our continued growth as one of the largest and most successful banks in the world. Maintaining a workplace where our employees feel supported to perform at their best, effectively collaborate, drive innovation, and grow professionally helps to bring our Purpose to life and create value for our clients and communities. RBC strives to deliver this through policies and programs intended to foster a workplace based on respect, belonging and opportunity for all.

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Seniority level

Seniority level

Not Applicable

Employment type

Employment type

Full-time

Job function

Job function

Finance and Sales

Industries

Insurance, Banking, and Financial Services

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