Disability Claims Specialist

3 weeks ago

Mississauga, Canada Royal Bank of Canada Full time

**Come Work with Us**

At RBC, our culture is deeply supportive and rich in opportunity and reward. You will help our clients thrive and our communities prosper, empowered by a spirit of shared purpose.

Whether you’re helping clients find new opportunities, developing new technology, or providing expert advice to internal partners, you will be doing work that matters in the world, in an environment built on teamwork, service, responsibility, diversity, and integrity.

**Job Title**

Disability Claims Specialist

**What is the opportunity?**

**What will you do?**
- Adjudicate claims utilizing a multidisciplinary claim management model to; ensure objective, fair and thorough claim adjudication, comply with practices and procedures and regulatory requirements, provide the highest level of customer service and manage reputational risk and, develop and implement claims management and return to work strategies on assigned caseloads where warranted.
- Accountability and responsibility to ensure that the management of required tasks within the assigned case load meets all service level standards.
- Manage a large caseload of disability claims
- Render decisions on a timely basis and effectively communicate these decisions, at times potentially difficult decisions and manage escalations with employers and claimants.
- Build effective relationships with key stakeholders and claimants to support recovery and return to work.
- Professionally communicate outcomes to our clients
- Given the very sensitive nature of the information gathered in the adjudication process, extreme care must be exercised in the handling of a claim in order to guard against any breach of confidentiality
- Effectively communicate and build rapport with team members, stakeholders, business partners and claimants to support recovery and return to work using a variety of techniques and collaboration from initiation to close

**What will you need to succeed?**

Must-have
- Post-secondary university degree or college diploma completed preferably in health sciences or a related field and a minimum 2 years of Short or Long Term Disability claims case management experience.
- Experience in effectively managing complex claims
- Strong analytical and decision making skills.
- Motivation to learn and adapt to change.
- Excellent organizational skills and the ability to multitask, work under pressure within a stressful working environment to handle high demands, meet tight targets and deadlines, and balance multiple goals and priorities
- Excellent communication skills in English (written and spoken) to successfully partner and influence various stakeholders including the claimant, their treatment providers and physicians, the employer, group administrators, brokers, human resources, and lawyers.
- Demonstrated ability to effectively deal with customers in a manner that is professional with a high degree of customer service, including emotional calls and mental health clients.
- Excellent customer service and telephone skills and the ability to communicate complex and difficult information clearly with tact and high level of empathy.
- A general understanding of the health care and insurance fields, health related terminology, concepts of accommodation and return to work..
- An good understanding of contract wording and the ability to thoroughly review medical reports and other tools available.
- Microsoft Office and experience working with multiple computer systems

Nice-to-have
- Ability to effectively manage change.

**What's in it for you?**
- A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plans
- Competitive pay and high-earning potential
- All the tools, training, and team support you need to grow your career
- Flexible work/life balance options
- Sophisticated RBCI software tools to boost your productivity

**Job Summary**

**Address**:
MISSISSAUGA, Ontario, Canada

**City**:
CAN-ON-MISSISSAUGA

**Country**:
Canada

**Work hours/week**:
37.5

**Employment Type**:
Full time

**Platform**:
Insurance

**Job Type**:
Regular

**Pay Type**:
Salaried

**Posted Date**:
2023-03-16

**Application Deadline**:
2023-04-07

**I**nclusion** and Equal Opportunity Employment**

At RBC, we embrace diversity and inclusion for innovation and growth. We are committed to building inclusive teams and an equitable workplace for our employees to bring their true selves to work. We are taking actions to tackle issues of inequity and systemic bias to support our diverse talent, clients and communities.

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