Disability Claims Analyst, Individual Claims

Job Description

Job Description What is the opportunity? As a Disability Claims Analyst at RBC 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. Your role is a unique blend of analytical precision and heartfelt empathy – where every claim is unique, and your decision directly impact financial wellbeing and peace of mind of our clients who are the center of our claims. Ready to make a real difference? Let’s work together to support our clients and strengthen our community! What will you do? 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. What will you need to succeed? Must-Have Post-secondary education or college diploma completed. 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) Nice to have: Experience in claims. Learning Agility,