Position Title: Group Life Claims and Disability Payment Specialist
Reports To: Manager, Life and Disability Best Practice
Department: Group Life & Disability Claims
Term: Permanent Full-Time​


Work Arrangements: This is a hybrid role. You will work in our office in Waterloo, ON a minimum of two (2) assigned, consecutive days every other week, plus a fifth (5th) assigned day per month. You are welcome to work from the office more than the minimum requirement and there may be some roles that are required to work in our office more than the minimum requirement.



The Opportunity: Equitable is looking for a Group Life Claims and Disability Payment Specialist. The primary responsibilities of this role will focus on disability claim payments.

Now is an exciting time to join one of the Waterloo Area's Top Employer for 2025 and Southwestern Ontario's Top Employers for 2024!

What you will be doing:

• Provide optimal customer service and ensure all types of Life and Disability benefit payments are accurate and issued correctly.
• Calculate benefits payable and make necessary adjustments throughout the disability claim process, including offsets for CPP Disability Benefits and Workers Compensation Benefits.
• Complete rehab earnings calculations for both STD & LTD disability benefits, incorporating applicable consumer price index (CPI) factors.
• Manage the overpayment reimbursement process, including establishing repayment plans.
• Process lump sum payments for claims or litigation as directed by the DCS or Litigation Specialist.
• Manage EFT rejections and stale dated cheques
• Resolve any payment issues received from the Plan Member or Plan Sponsor within department quality standards.
• Serve as a subject matter expert on the annual tax project, issuing T4 & Rev1 tax slips.
• Perform annual cost of living allowance (COLA) increase calculations for LTD benefits.
• Evaluate medical, functional, employment, and contractual information to determine ongoing eligibility for extended duration and waiver of premium claims.
• Evaluate claim requirements based on policy provisions to make timely and accurate decisions on Life, Dependent Life, Optional Life, AD&D, Living Benefit, and Creditor Life claims.
• Work collaboratively with reinsurers to ensure their requirements are met for claims which exceed the reinsurance limit and to ensure Equitable is reimbursed appropriately.
• Review and action monthly control reports.
• Maintain well-documented, clear and concise files.
• Identify and participate in process improvement opportunities.
• De-escalate volatile emotional situations mostly by phone.
• Provide miscellaneous claim support as needed.

What you will bring:

• Excellent verbal and written communication skills
• Superior mathematical skills
• Strong organizational and time management skills.
• Detail-oriented, with high degree of accuracy
• Strong customer service skills
• Creative problem-solving skills
• Computer literacy skills - working experience of MS Office, Excel, and ability to learn new systems applications.
• Knowledge of various group contracts is helpful
• Willingness to embrace new strategies, approaches and ideas
• Process improvement/efficiency focus
• Effective negotiating and conflict management skills
• Ability to handle high volume of work within a fast-paced environment
• Ability to work in a team environment
  
  

What's in it for you:

• A healthy work-life balance with employee wellness top of mind
• Annual bonus program, annual vacation allowance, and company-paid benefits program
• An additional paid volunteer day each year so you can spend time giving back to the community
• Immediate enrollment in the company's pension program with employer matching
• Employee resource groups that support an inclusive work environment
• Tuition support and specialized program assistance
• An onsite full-service cafeteria with a variety of daily options
• Discounts on company products and services, and access to exclusive employee perks
• Regular EQ Together events focused on company togetherness and collaboration
• Regular EQ Together events focused on company togetherness and collaboration
  
  
  

As part of the recruitment/offer process you will be required to:

• Provide two professional references (minimum one supervisor and above)

This role is open due to an existing vacancy.

To learn more about Equitable, we encourage you to explore our organization.

At Equitable, we are committed to providing equal access to employment opportunities across our organization. Please contact our HR team at careers@equitable.ca if you would like to receive our job postings in an alternative format or require an accommodation with the application process.

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