Specialty Health Network Inc.

Profile insights
Here’s how the job qualifications align with your profile.
Skills

Time management

Customer service

Analysis skills

Do you have experience in Time management?
Education

Post-secondary education

Do you have a Post-secondary education?
Languages

French

Bilingual

English

Do you know French?
 
Job details
Here’s how the job details align with your profile.
Job type

Full-time
 
Location
Toronto, ON M9W 0A4
 
Full job description
Job Summary

Job Description

What is the opportunity?

The role is 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, 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:

2025-07-15
Application Deadline:

2025-07-31
Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date above

Inclusion and Equal Opportunity Employment

At RBC, we believe an inclusive workplace that has diverse perspectives is core to our continued growth as one of the largest and most successful banks in the world. Maintaining a workplace where our employees feel supported to perform at their best, effectively collaborate, drive innovation, and grow professionally helps to bring our Purpose to life and create value for our clients and communities. RBC strives to deliver this through policies and programs intended to foster a workplace based on respect, belonging and opportunity for all.

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