Disability Claims Analyst, Group Insurance

Job Description

Job Description What is the opportunity? As a Disability Claims Analyst in Group Insurance, you will be part of a supportive, multidisciplinary team with expertise across diverse fields dedicated to ensuring excellent client service while managing risk strategies that impact on the company’s reputation, regulatory risk, client relationships, financial results and business retention. Group claims are a team effort! You will be navigating employer relationships, coordinate return-to-work plans, and manage multi-party communication – making stakeholder management a key part of your role. Ready to make a difference? Let’s empower lives, strengthen communities, and build a brighter future—one claim at a time! What will you do? Adjudication: Fairly and objectively assess disability claims using a multidisciplinary approach, prioritizing critical tasks while ensuring compliance with policies, procedures, and regulatory requirements. Communication: Deliver clear, empathetic, and timely communication to clients, employers, and partners, particularly when handling sensitive decisions such as claim denials. Critical Analysis & Decision Making: Use critical thinking to make informed, timely decisions based on thorough evaluations of claim details. Negotiation and Resolution: Clearly articulate claim decisions in writing and verbally to address concerns, foster mutual respect, and manage escalations effectively. Claim Management: Efficiently and accurately manage a high-volume caseload, calculate benefit payments, and implement return-to-work strategies to support claimants’ recovery. Stakeholder Building: Cultivate strong relationships with key stakeholders and claimants to facilitate recovery and successful return-to-work outcomes. Cross-Functional Collaboration: Collaborate seamlessly with medical, legal, and client service professionals to ensure consistency and drive positive results throughout the claims process. High Sustained Concentration and Mental Processing: Maintain focus and mental acuity to effectively handle complex cases and high-volume workloads. What will you need to succeed? Must-have Post-secondary education in healthcare or a related field, or equivalent work experience. Exceptional verbal and written English skills, with the ability to navigate emotionally sensitive conversations empathetically and professionally. Excellent problem-solving and decision-making skills with demonstrated ability to manage complex information and make evidence-based decisions Strong analytical skills to manage complex information and make evidence-based decisions. Ability to work independently with strong organizational and time management skills to strategically deliver the greatest impact. Ability to meet the technological and confidentiality requirements of the role (internet connectivity, and private space) Proficiency in digital tools, Microsoft Outlook, Excel, Word, and ability to navigate multiple systems. Basic math skills and an understanding of fin

Required Skills