Claim adjuster Offres d'emploi - Moncton, NB

Job Summary

Job Description

What is the opportunity?

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

As a Bilingual Disability Claims Specialist, you will adjudicate and manage Group disability claims in a team-oriented, multi-disciplinary, and digital environment. You will be responsible for ensuring claims are adjudicated and paid in accordance with policy and 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 by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with policy provisions, procedures and regulatory requirements

Provide the highest level of customer service and manage reputational risk

Manage a large caseload of disability claims, calculate benefit payments and implement claims management and return to work strategies

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?

Must-have

Post-secondary education, preferably in healthcare or a related field, and minimum 2(two) years of Short Term or Long-Term Disability claims adjudication experience

Bilingualism (English and French) required, as you will regularly serve our clients and do business with RBC partners and / or employees across Canada with English and French speaking needs.

High level of writing in French and English

Strong analytical, critical thinking and decision-making skills, with the ability to multitask and balance multiple goals and priorities

Excellent customer service and telephone skills with the ability to communicate complex and difficult information with professionalism and empathy, including phone calls with client who may be emotional or have mental health conditions

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.)

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 and career development programs and 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

Address :

MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR : MISSISSAUGA

City : MISSISSAUGA

Country : Canada

Work hours / week : 37.5

Employment Type : Full time

Platform : INSURANCE

Job Type : Regular

Pay Type : Salaried

Posted Date : 2025-02-11

Application Deadline :

2025-04-04

Note : Applications will be accepted until 11 : 59 PM on the day prior to the application deadline date above

I nclusion 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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Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at jobs.rbc.com .