Group Long Term Disability Claims Specialist A

Equitable; Southwestern Ontario; On-site; CAD 60,000 - 90,000; Full time

Job summary

Equitable is seeking a Group Long Term Disability Claims Specialist A to analyze LTD/STD claims and deliver compassionate client service for plan sponsors and members across Canada. This role emphasizes policy interpretation, accuracy, and collaborative problem-solving in a home-office setting.

You will primarily work from home with potential in-person days at Waterloo, ON or other regional offices as needed, and some travel may be required for specific assignments.

Qualifications

• Proficient English, spoken and written.
• 2+ years’ STD and/or LTD claims experience.
• University degree or College Diploma in health-related field or related adjudication experience.
• Thorough knowledge of insurance operations.
• Problem-solving and analytical skills.
• Excellent interpersonal and client service skills.
• Ability to explain complex decisions clearly to clients.
• Bilingual EN/FR would be an asset.

Responsibilities

• Analyze medical, functional, employment and contractual information to decide LTD/STD claims.
• Manage LTD/STD claims with curiosity and solution-focused approach.
• Accurately calculate LTD benefits and adjustments across the claim lifecycle.
• Coordinate rehabilitation and cost-effective case management tools.
• Communicate decisions clearly and with empathy to stakeholders.
• De-escalate conflicts and maintain positive client experiences.

Skills

English proficiency

LTD/STD claims experience

Analytical skills

Interpersonal & client service

Negotiation & conflict management

Time management

Communication skills

Bilingual EN/FR (asset)

Education

University degree or college diploma in health-related field

Job description

Group Long Term Disability Claims Specialist A

Job Description

Posted Wednesday, August 12, 2026 at 4:00 AM

At Equitable, we believe work should be a place where you feel supported, inspired, and empowered to grow. In our caring and collaborative environment, your curiosity is encouraged, your passion is recognized, and your contributions truly matter. Together, we create meaningful impact, for our clients, our communities, and each other.

The Opportunity :

At Equitable, we believe great things happen when we work together. We’re a Canadian mutual company driven by purpose - putting people first and helping Canadians protect today and prepare for tomorrow. If you’re passionate about making a difference and growing your career in an inclusive and collaborative environment, we’d love to hear from you. Our culture is built on care, passion and curiosity. We put people above all else, strive to be our best and welcome new ideas to deliver positive outcomes.

If you love helping people and have a passion for delivering exceptional client service, you’d be a great fit for our team. That’s because 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 in their recovery and return to work from an injury or illness. If you have experience in disability adjudication or in a related disability or mental health profession and you want to have a positive impact on the lives of our plan members, we want you to join our company. We’re looking for a polished communicator and decision maker who can develop creative solutions to complex problems, someone who is empathetic and has a natural service orientation, who is a collaborator that can work with others towards a common goal.

Work Arrangements:

You will work from your home office 100% of the time. You may be required to be in-person at our office in Waterloo, ON or another assigned location within the Waterloo Region, on an as needed basis. Sales related roles may be required to travel based on the assignment.

What you’ll do:

• Analyze medical, functional, employment and contractual information in order to make timely and accurate decisions on Long Term Disability (LTD) claims
• Champion progress and resolution by actively managing LTD claims with curiosity and strong problem‑solving skills, adapting to evolving information and creating opportunities to help people move forward.
• Ensure financial clarity and trust by accurately calculating LTD benefits and adjustments throughout the claim lifecycle, including rehabilitation earnings, CPP Disability offsets, and overpayments.
• Support recovery with intention by identifying and coordinating appropriate, cost‑effective case management tools—such as rehabilitation services, functional abilities evaluations, and medical consultations—to help employees regain function and independence.
• Build meaningful relationships through care and empathy, delivering clear, compassionate, and professional communication with plan members, sponsors, advisors, and medical partners, even in emotionally complex situations.
• Communicate decisions with confidence and respect, explaining outcomes in plain language so clients understand both the decision and the path forward.
• Navigate challenges with professionalism and passion, using strong conflict‑resolution skills to de‑escalate concerns, maintain trust, and deliver positive client experiences.

What you’ll bring:

• Proficient English, spoken and written, is required
• 2+ years’ STD and/or LTD claims management experience
• University degree or College Diploma preferred in health-related or disability management field (i.e. nursing, occupational therapy, kinesiology, psychology, social services, occupational health etc.) or experience adjudicating disability claims
• Thorough knowledge of insurance operations
• Passion for problem-solving and thorough knowledge of insurance operations
• Complex knowledge of various group contracts would be helpful
• Effective negotiating and conflict management skills
• Excellent interpersonal and strong client service skills
• Mathematical and analytical skills
• Demonstrated conflict management and professional de-escalation skills
• Deep-rooted personal boundaries and time management, with the ability to balance various priorities coming in at once
• Ability to break down difficult to understand concepts/decisions and explain in a way that is easy to understand for the client
• Proven ability to succeed in a dynamic environment with changing priorities
• Bilingual written and spoken, English/ French, would be an asset

What’s in it for you:

• Career Growth: Regular learning sessions and developmentopportunities
• Total Rewards: Incentive pay, annual salary reviews, employer-paid benefits and pensionmatching
• Time Away: Competitive vacation plus one paid volunteer day each year
• Flexibility: Healthy work-life balance with employee wellness always top of mind, complemented by a “dress for your day” approach

At Equitable, we’re committed to fair pay and an inclusive, accessible hiring experience. If you need accommodations or alternative formats at any stage, just reach out to us at [e-mail] . We’re happy to help.

Your base pay will be based on your skills, qualifications, experience and education. In addition to your salary, this role is eligible for a discretionary annual incentive award tied to business performance, plus a wide range of competitive benefits.

If you’re selected to move forward, our Talent Acquisition team will walk you through all the details of our total rewards program, so you know exactly what’s included.

Reports To: Manager, Life STD LTD Claims Department : Group Disability Term: Permanent Full-Time
Location: Western Ontario

This position is open and we are excited to find the right person to join our team.

As part of the recruitment process, you will need to go through background screening, as per our company policy.