Group Short Term Disability Claims Specialist

Equitable Life of Canada; Waterloo; Hybrid; CAD 60,000 - 80,000; Full time

Job summary

Equitable Life of Canada is seeking a Group Short Term Disability Claims Specialist in Waterloo. This permanent full-time position involves analyzing claims, providing exceptional customer service, and working collaboratively to support clients recovering from injury or illness. Join a top employer and contribute to meaningful outcomes in a hybrid work environment.

Benefits

Annual bonus

Paid volunteer day annually

Immediate enrollment in pension with employer matching

Tuition support

Onsite cafeteria

Qualifications

• 2+ years' STD and/or LTD claims management experience preferred.
• Thorough knowledge of insurance operations.
• Computer literacy.

Responsibilities

• Analyze medical, functional, employment, and contractual information to make timely decisions on STD claims.
• Manage open STD claims using problem-solving and analytical skills.
• Provide superior written and verbal customer service.

Skills

Problem-solving

Interpersonal skills

Customer service

Analytical skills

Conflict resolution

Education

University degree or College Diploma in health-related fields

Job description

Group Short Term Disability Claims Specialist
Waterloo, ON, Canada
Req #2759
Tuesday, April 8, 2025

At Equitable, we realize that your work life is not just about performing a job; it's about being part of a workplace that helps you grow and reach your full potential. Within our friendly and collaborative work environment, we recognize that the key to our growth and success is a dedicated, motivated, and client-responsive staff. Join Equitable today.

Position Details

Position Title: Group Short Term Disability Claims Specialist
Reports To: Manager, Life STD LTD Claims
Department: Group Disability Life Claims
Term: Permanent Full-Time

Work Arrangements

This is a hybrid role. You will work in our office in Waterloo, ON a minimum of two (2) assigned, consecutive days every other week, plus a fifth (5th) assigned day per month. You are welcome to work from the office more than the minimum requirement, and some roles may require more in-office days.

The Opportunity

If you love helping people and have a passion for delivering exceptional customer service, you’d be a great fit for our team. At Equitable, we believe in providing personalized service and support to our plan sponsors and plan members. Our plan sponsors rely on us to deliver creative solutions as we help their staff recover and return to work from injury or illness. If you have experience in disability adjudication or a related disability or mental health profession and want to positively impact our members' lives, we invite you to join us.

We’re looking for a polished communicator and decision-maker who can develop creative solutions to complex problems, demonstrate empathy, and work collaboratively towards common goals. If that describes you, consider a career as a Group Short Term Disability Claims Specialist at one of Waterloo Area’s Top Employers for 2025 and Southwestern Ontario’s Top Employers for 2024!

Responsibilities

• Analyze medical, functional, employment, and contractual information to make timely and accurate decisions on STD claims.
• Manage open STD claims using problem-solving and analytical skills, seeking timely resolutions.
• Calculate benefits payable and make adjustments, including offsets for CPP Disability Benefits and overpayment calculations.
• Implement cost-effective case management tools to assist disabled employees (e.g., Rehabilitation Interventions, Functional Abilities Evaluations, Independent Medical Examinations, Medical Consultant Referrals).
• Provide superior written and verbal customer service, maintaining clear, well-documented files.
• Communicate frequently with plan sponsors, members, advisors, medical and legal professionals.
• Participate actively in client meetings.
• Communicate professionally and empathetically with clients, many of whom may be experiencing difficult life situations.
• Use problem-solving skills to make tough claims decisions and communicate these clearly.
• Show conflict resolution skills to de-escalate situations with dissatisfied clients.

Qualifications

• Proficient in English, spoken and written.
• 2+ years’ STD and/or LTD claims management experience preferred.
• University degree or College Diploma in health-related fields (e.g., nursing, occupational therapy, kinesiology, psychology, social services) or relevant disability claims adjudication experience.
• Thorough knowledge of insurance operations.
• Strong problem-solving skills and knowledge of insurance.
• Understanding of various group contracts is helpful.
• Computer literacy.
• Negotiation and conflict management skills.
• Excellent interpersonal and customer service skills.
• Mathematical and analytical skills.
• Conflict management and de-escalation abilities.
• Strong personal boundaries and time management skills.
• Ability to explain complex concepts clearly to clients.
• Ability to succeed in a dynamic environment with changing priorities.

Benefits

• Healthy work-life balance and employee wellness focus.
• Annual bonus, vacation allowance, and company-paid benefits.
• Paid volunteer day annually.
• Immediate enrollment in pension with employer matching.
• Employee resource groups supporting inclusivity.
• Tuition support and specialized programs.
• Onsite cafeteria with diverse options.
• Discounts on company products/services and exclusive perks.
• Regular EQ Together events promoting company culture.

Application Process

To apply:

1. Click Apply Now at the bottom of the page to submit your application through our careers site.
2. Complete your PLUM profile HERE and the Plum Discovery Survey. (Priority is given to applicants who complete the survey.)

As part of the recruitment process, you will be asked to:

• Provide two professional references (minimum one supervisor).

This vacancy is open due to an existing position. To learn more about Equitable, explore our organization. We are committed to accessible employment opportunities. Contact our HR team at [e-mail] for alternative formats or accommodations.

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