Group Long Term Disability Claims Specialist A

Dayforce HCM, Inc.; Waterloo; Hybrid; CAD 50,000 - 80,000; Full time

Job summary

Join a forward-thinking company as a Group Long Term Disability Claims Specialist, where your passion for helping others can shine. In this hybrid role, you will analyze claims and provide personalized support to clients navigating recovery from injury or illness. With a focus on problem-solving and exceptional customer service, you will be part of a team that values your contributions and fosters a collaborative work environment. Enjoy a balanced work-life with numerous perks, including a pension plan, tuition support, and wellness initiatives. If you are ready to make a positive impact, this opportunity awaits you.

Benefits

Annual bonus

Company-paid benefits

Tuition support

Discounts on company products/services

Additional paid volunteer day

Inclusive employee resource groups

Regular team events

Subsidized cafeteria options

Qualifications

• 2+ years of experience managing STD and/or LTD claims.
• Thorough knowledge of insurance operations and processes.

Responsibilities

• Analyze medical and employment information for LTD claims.
• Manage open claims and facilitate timely resolutions.
• Provide superior customer service during difficult situations.

Skills

Claims Management

Customer Service

Problem-Solving

Analytical Skills

Conflict Management

Negotiation Skills

Bilingual (English/French)

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
Start Date: June 23, 2025

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:

1. Analyze medical, functional, employment, and contractual information to make timely and accurate decisions on Long Term Disability (LTD) claims.
2. Manage open LTD claims using problem-solving and analytical skills to facilitate timely resolution.
3. Calculate benefits payable, making adjustments as needed, including offsets for rehabilitation earnings, CPP Disability Benefits, and overpayment calculations.
4. 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.
5. Provide superior written and verbal customer service, ensuring accurate, well-documented, clear, and concise files.
6. Communicate frequently with plan sponsors, members, advisors, marketing managers, medical and legal professionals.
7. Participate actively in client meetings.
8. Communicate professionally and empathetically with clients, often during difficult times, including emotionally charged situations.
9. Use problem-solving skills to make tough claims decisions and communicate these clearly and understandably.
10. 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 [e-mail] for accommodations or alternative formats.

#LI-Hybrid

• Job Family: Individual Contributor - Transactional