Date: 2024-06-24 18:59:28

Bilingual Disability Claims Specialist, Group Insurance

Job Description
Job Summary

Job Description

What is the opportunity?

Remote work available in the following provinces: Quebec, Ontario, New-Brunswick, Nova Scotia, Alberta and Prince Edward Island.

As a Bilingual Disability Claims Specialist, you will adjudicate and manage Group disability claims in a team-oriented, multi-disciplinary, digital environment. You will be responsible for ensuring claims are adjudicated and paid in accordance with unit procedures while delivering superior client service. You will be required to apply appropriate risk management strategies which impact the company’s financial results, reputation and regulatory risks, client relationships, and business retention.

What will you do?

  • Adjudicate French and English 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, manage reputational risk and, develop and implement claims management and return to work strategies on assigned caseloads
  • 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.
  • 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

What will you need to succeed?


  • Post-secondary university degree or college diploma preferably in health sciences or a related field and minimum 2(two) years of Short Term or Long-term Disability claims case management experience
  • Requires fluency in French and English to serve our clients in the community with English speaking needs
  • High level of writing in French and English
  • Experience in effectively managing complex claims
  • Strong analytical and decision-making skills, critical thinking and the ability to multitask and balance multiple goals and priorities
  • 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.
  • Microsoft Office and experience working with multiple computer systems
  • 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.)


  • Ability to effectively manage change
  • Group Disability Claims experience

What's in it for you?

We thrive on the challenge to be our best, progressive thinking to keep growing, and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other, reaching our potential, making a difference to our communities, and achieving success that is mutual.

  • A Total Rewards program that includes flexible benefits, work/life balance, career development programs as well as 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

RBC is committed to supporting flexible work arrangements when and where available. Details to be discussed with Hiring Manager

Job Skills

Active Learning, Coverage Analysis, Critical Thinking, Customer Service, Insurance Claims Investigations, Insurance Operations, Insurance Product Development, Knowledge of Claims, Long Term Planning, Settlement Negotiations

Additional Job Details







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Employment Type:

Full time



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Inclusion 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.

We also strive to provide an accessible candidate experience for our prospective employees with different abilities. Please let us know if you need any accommodations during the recruitment process.

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