Disability Claims Specialist, Individual Claims
Royal Bank of Canada View all jobs
- Mississauga, ON
- Permanent
- Full-time
- Adjudication: proactively evaluate individual disability claims using medical evidence, occupational insights, policy terms, amongst others, to determine benefit eligibility, ensuring decisions are objective, fair, and thoroughly documented
- Client Communication: Deliver clear, empathetic, and timely communication to clients - whether sharing approvals or navigating sensitive denials.
- Critical Analysis & Decision-Making: Use critical thinking to make timely decisions based on your assessment of the claim.
- Negotiation and Resolution: Articulate claim decisions clearly in writing and verbally, addressing concerns to foster resolution and mutual respect.
- Claims Management: Efficiently manage a high-volume of cases, calculate benefit payments and proactively support clients’ return-to-work journeys as applicable.
- Relationship Building: Develop strong relationships with clients and key partners to facilitate recovery and positive claim resolutions.
- Cross-Functional Collaboration: Collaborate seamlessly with cross-functional teams – including medical, legal and client service experts throughout the claims journey to drive consistency and results.
- Post-secondary education or college diploma completed.
- Minimum 2 years of Disability claims case management
- Preferred background in healthcare, finance, or a related field: You’ll review medical and financial details as well as policy language.
- Exceptional client service and communication skills (both verbal and written in English), with the ability to navigate emotionally sensitive conversations with empathy and professionalism.
- Excellent problem-solving and decision-making skills with demonstrated ability to manage complex information and make evidence-based decisions
- Strong analytical thinking, judgement and risk-management mindset.
- Ability to work independently with strong organizational and time management skills to strategically deliver the greatest impact.
- Proficiency in digital tools, Microsoft Outlook, Excel, Word, and ability to navigate multiple systems.
- Basic math skills with an understanding of financial information.
- Ability to meet the technological and confidentiality requirements of the role (internet connectivity, and private space)
- Learning Agility, ability to adapt and manage change effectively.
- Familiarity with data analytics tools such as Tableau.
- Bilingual (English/French)
- A comprehensive Total Rewards Program including bonuses and flexible benefits and competitive compensation
- RBCI software tools to boost your productivity
- Leaders who support your development through coaching and managing opportunities
- Work in a dynamic, collaborative, progressive, and high-performing team
- Opportunities to take on progressively greater accountabilities
- Access to a variety of job opportunities across business and geographies
- Flexible work-life balance options