Group Long Term Disability Claims Specialist

Dayforce HCM, Inc.; Waterloo; Hybrid; CAD 60,000 - 80,000; Full time

Job summary

A leading company in Waterloo is seeking a Group Long Term Disability Claims Specialist. This role involves analyzing claims, providing exceptional customer service, and working collaboratively within a hybrid work environment. Ideal candidates will have experience in disability adjudication and a passion for helping others.

Benefits

Annual Bonus

Company-Paid Benefits

Tuition Support

Discounts on Company Products

Paid Volunteer Day

Qualifications

• At least 2 years’ experience managing STD and/or LTD claims.
• Thorough knowledge of insurance operations.

Responsibilities

• Analyze medical and employment information for LTD claims.
• Provide superior customer service and manage claims effectively.
• Communicate professionally with clients and plan sponsors.

Skills

Customer Service

Problem-Solving

Conflict Management

Analytical Skills

Interpersonal Skills

Education

University Degree in Health-Related Fields

College Diploma in Disability Management

Job description

Group Long Term Disability Claims Specialist

Tuesday, April 29, 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 Title : Group Long Term Disability Claims Specialist

Reports To : Manager, Life & Disability Claims

Department : Group Life & Disability 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 presence.

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 assist their staff in recovery 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 plan members' lives, we want 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, explore a career as a Disability Claims Specialist at one of Waterloo Area and Southwestern Ontario’s Top Employers for 2024.

What you will be doing :

• Analyze medical, functional, employment, and contractual information to make timely and accurate decisions on Long Term Disability (LTD) claims.
• Manage open LTD claims using problem-solving and analytical skills to facilitate timely resolution.
• Calculate benefits payable, making adjustments as needed, including offsets for rehabilitation earnings, CPP Disability Benefits, and overpayment calculations.
• Identify and implement cost-effective case management tools to assist disabled employees, such as Rehabilitation Interventions, Functional Abilities Evaluations, Independent Medical Examinations, and Medical Consultant Referrals.
• Provide superior written and verbal customer service, ensuring accurate, well-documented, clear, and concise files.
• Communicate frequently with plan sponsors, members, advisors, marketing managers, medical and legal professionals.
• Participate actively in client meetings.
• Communicate professionally and empathetically with clients, often during difficult times, including emotionally charged situations.
• Use problem-solving skills to make tough claims decisions and communicate these clearly and understandably.
• Demonstrate conflict resolution skills to de-escalate situations with dissatisfied clients.

What you will bring :

• Proficient spoken and written English.
• At least 2 years’ experience managing STD and / or LTD claims.
• University degree or College Diploma in health-related or disability management fields (e.g., nursing, occupational therapy, kinesiology, psychology, social services, occupational health) or equivalent experience in disability claims adjudication.
• Thorough knowledge of insurance operations.
• Passion for problem-solving and detailed knowledge of insurance processes.
• Knowledge of various group contracts is advantageous.
• Strong negotiation and conflict management skills.
• Excellent interpersonal and customer service skills.
• Mathematical and analytical skills.
• Conflict management and de-escalation skills.
• Strong personal boundaries and time management skills to handle multiple priorities.
• Ability to simplify complex concepts for clients.
• Proven success in dynamic environments with changing priorities.
• Bilingual in English / French is an asset.

What’s in it for you :

• Work-life balance and employee wellness focus.
• Annual bonus, vacation allowance, and company-paid benefits.
• Additional paid volunteer day annually.
• Immediate enrollment in the company pension plan with employer matching.
• Inclusive employee resource groups.
• Tuition support and specialized programs.
• Subsidized cafeteria options.
• Discounts on company products / services and exclusive perks.
• Regular team events promoting company unity.
• Apply now via our careers site and complete your PLUM profile and Discovery Survey (priority given to survey completers).

Additional requirements :

• Provide two professional references (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 [emailprotected] for accommodations or alternative formats.

LI-Hybrid

• Job Family : Individual Contributor - Transactional

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