Group Long Term Disability Claims Specialist A

The Opportunity: At Equitable we believe great things happen when we work together. Were a Canadian mutual company driven by purpose - putting people first and helping Canadians protect today and prepare for tomorrow. If youre passionate about making a difference and growing your career in an inclusive and collaborative environment wed 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 you love helping people and have a passion for delivering exceptional client service youd be a great fit for our team. Thats 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. Were 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 one of the regions top employers and be part of something that truly makes a 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 there may be some roles that are required to work in our office more than the minimum youll 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 problemsolving 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 costeffective case management toolssuch as rehabilitation services functional abilities evaluations and medical consultationsto 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 conflictresolution skills to deescalate concerns maintain trust and deliver positive client youll 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;Computer literacy skills;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 Equitable were 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 Were happy to base pay will be based on your skills qualifications experience and 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 youre selected to move forward our Talent Acquisition team will walk you through all the details of our total rewards program so you know exactly whats To: Manager Life STD LTD ClaimsDepartment: Group Disability Term: Permanent Full-Time