Group Long Term Disability Claims Specialist

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

Job summary

Join a leading company as a Group Long Term Disability Claims Specialist. This hybrid role in Waterloo focuses on delivering exceptional customer service and managing LTD claims. Ideal candidates have experience in disability adjudication and a passion for helping others. Enjoy a supportive work environment with benefits that promote work-life balance and professional growth.

Benefits

Bonuses

Vacation allowance

Comprehensive benefits

Paid volunteer day annually

Immediate pension enrollment with employer matching

Tuition support

On-site cafeteria

Employee discounts

Team-building events

Qualifications

• At least 2 years of STD/LTD claims management experience.
• Proficiency in spoken and written English.

Responsibilities

• Analyze medical and employment information for LTD claim decisions.
• Manage open LTD claims and resolve issues efficiently.
• Provide high-quality customer service and maintain documentation.

Skills

Customer Service

Negotiation

Analytical Skills

Conflict Management

Education

Degree or diploma in health-related fields

Job description

Group Long Term Disability Claims Specialist

Join us at Equitable as a Group Long Term Disability Claims Specialist and be part of a workplace that fosters growth and success. We value a dedicated, motivated, and client-responsive team in a friendly and collaborative environment.

Position Title : Group Long Term Disability Claims Specialist

Reports To : Manager, Life & Disability Claims

Department : Group Life & Disability Claims

Term : Permanent Full-Time

Work Arrangements : Hybrid role based in Waterloo, ON. Minimum two (2) consecutive days in the office every other week, plus one (1) additional day per month. More days may be required depending on role needs.

The Opportunity : If you enjoy helping people and delivering exceptional customer service, this role is for you. At Equitable, we offer personalized support to plan sponsors and members, assisting in recovery and return-to-work processes. Ideal candidates have experience in disability adjudication or related health/professional fields, and a passion for making a positive impact.

What you will be doing :

• Analyze medical, functional, employment, and contractual information to make accurate and timely LTD claim decisions.
• Manage open LTD claims proactively, resolving issues efficiently.
• Calculate benefits and adjust payments as needed, considering offsets and overpayments.
• Implement cost-effective case management tools to support disabled employees.
• Provide high-quality written and verbal customer service, maintaining clear documentation.
• Communicate regularly with plan sponsors, members, advisors, medical and legal professionals.
• Participate actively in client meetings.
• Show empathy and professionalism in all client communications, especially during emotionally charged situations.
• Make informed decisions on claims, clearly explaining outcomes to clients.
• Resolve conflicts effectively and de-escalate tense situations.

What you will bring :

• Proficiency in spoken and written English.
• At least 2 years of STD/LTD claims management experience.
• Degree or diploma in health-related or disability management fields preferred, or relevant adjudication experience.
• Strong knowledge of insurance operations and contracts.
• Excellent negotiation, conflict management, and customer service skills.
• Analytical and mathematical aptitude.
• Ability to explain complex concepts simply.
• Adaptability to a dynamic environment and changing priorities.
• Bilingual in English/French is an asset.

What’s in it for you :

• Work-life balance and wellness focus.
• Bonuses, vacation allowance, and comprehensive benefits.
• Paid volunteer day annually.
• Immediate pension enrollment with employer matching.
• Inclusive employee resource groups.
• Tuition support and specialized programs.
• On-site cafeteria and employee discounts.
• Team-building events and company engagement activities.
• Application instructions: Click 'Apply Now' on our careers site, complete your PLUM profile and the Plum Discovery Survey for priority consideration.

As part of the hiring process, you will need to provide two professional references, including at least one supervisor.

This vacancy is open due to an existing position.

For more about Equitable, visit our website. We are committed to equal opportunity employment; contact HR at [email address] for accommodations or alternative formats.