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Disability Claims Specialist, Group Insurance
2 months ago
We are seeking a highly skilled Disability Claims Specialist to join our team at Royal Bank of Canada. As a Disability Claims Specialist, you will play a critical role in ensuring that claims are adjudicated and paid in accordance with policy and unit procedures, while delivering superior client service.
Key Responsibilities- Adjudicate claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with policy provisions, procedures and regulatory requirements
- Provide the highest level of customer service and manage reputational risk
- Manage a large caseload of disability claims, calculate benefit payments and implement claims management and return to work strategies
- Render decisions on a timely basis and effectively communicate these decisions, at times potentially difficult decisions and manage escalations with employers and claimants
- Document and implement the appropriate next steps while effectively applying the adjudication process
- Build effective relationships with key stakeholders and claimants to support recovery and return to work
- 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 and business partners using a variety of techniques and collaboration from claim initiation to resolution
- Post-secondary education, preferably in healthcare or a related field, and minimum 2(two) years of Short Term or Long-Term Disability claims adjudication experience
- Fluency in English, both oral and written
- Strong analytical, critical thinking and decision-making skills, with the ability to multitask and balance multiple goals and priorities
- Excellent customer service and telephone skills with the ability to communicate complex and difficult information with professionalism and empathy, including phone calls with client who may be emotional or have mental health conditions
- Ability to work independently in a structured environment, as a Remote Office Employee (ROE), working in your home office with proven time management, organizational and problem-solving skills & must be able to meet with the technological and confidentiality requirements of the role (i.e., private, and quiet space, Internet connectivity, etc.)
- 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
Royal Bank of Canada is committed to supporting flexible work arrangements when and where available. Details to be discussed with Hiring Manager.
