Disability Claims Specialist

Disability Claims Specialist – Pacific Blue Cross

Pacific Blue Cross (PBC) is British Columbia’s leading benefits provider for over 80 years. PBC is an independent, not‑for‑profit society offering health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans. PBC is committed to sustainable health care, supporting projects through the PBC Health Foundation. PBC values employees who create positive change and grow their career with us.

Key Responsibilities

• Provide professional disability claims services to clients and applicants, reviewing and analyzing claim information from multiple sources.
• Determine eligibility and adjudicate short‑term disability claims, initiating referrals or escalation to other internal or external disability resources when required.
• Prepare and present pending short‑term disability claims and recommendations to the disability team for discussion, supporting findings and justifying acceptance or denial of claim.
• Monitor and update active claims on an ongoing basis, communicating claims‑related decisions directly to clients and applicants and composing written correspondence.
• Generate payments for approved short‑term disability claims, verifying salary, deductions, offsets, and ensuring accurate and timely benefit payments.

Job Duties (Adjudication & Assessment)

Job Benefits

Qualifications

Diversity, Equity, and Inclusion

PBC is an Indigenous Works employer of choice, an Insurance Business Canada Diversity, Equity, and Inclusion award winner, one of Canada’s Greenest employers, a Canadian Centre for Diversity and Inclusion partner, and a Pride at Work partner. PBC strives to create a workplace where everyone feels valued and employees are empowered to freely participate regardless of race, ethnicity, gender, sexual orientation, religion, ability, education level, parental status, or socioeconomic status. PBC is an equal‑opportunity employer and welcomes applications from all qualified candidates. For accommodation requests in completing the application process, please contact careers@pac.bluecross.ca.

How to Apply

To apply, visit our website this week at http : / / www.pbchbs.com / company / careers / . Only shortlisted candidates will be contacted.

#J-18808-Ljbffr