Medical Claim Adjudication jobs in Ontario

ABOUT US

At HUB International, we are a team of entrepreneurs. We believe in protecting and supporting the aspirations of individuals, families, and businesses. We help our clients evaluate their risks and develop solutions tailored to their needs. We believe in empowering our employees to learn, grow, and make a difference. Our structure enables our teams to maintain their own unique, regional culture while leveraging support and resources from our corporate centers of excellence.

HUB is the 5th largest global insurance and employee benefits broker, providing a boundaryless array of business insurance, employee benefits, risk services, personal insurance, retirement, and private wealth management products and services. With over $5 billion in revenue and more than 20,000 employees in 600 offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions.

Overview of Position:

Reporting to the Director, Canada Benefits Strategy & Services, the Leave & Benefits Consultant serves as a subject matter expert and senior practitioner within HUB's Canadian Benefits Centre of Excellence. This role combines deep technical expertise in Canadian leave legislation and group benefits administration from day-to-day guidance & coaching to managing complex case escalations and driving continuous process improvement. The Leave & Benefits Consultant is the primary point of contact for HRBPs, leaders, and employees on all matters related to leave of absence, disability management, and medical accommodations.

Key Responsibilities

• Serve as the subject matter expert for Canadian leave of absence, disability, accommodation, and group benefits programs, ensuring compliance with federal/provincial legislation, human rights obligations, and company policies

• Manage leave and disability cases from straightforward to complex, including claim adjudication, workplace accommodations, and gradual return-to-work plans in collaboration with HRBPs, carriers, legal counsel, managers, and employees

• Act as the primary liaison and escalation point to effectively managing complex and sensitive leave and benefits matters across all levels of the organization

• Administer group benefits and wellness programs, supporting preventative care initiatives, eligibility, enrolment, and ongoing plan administration.

• Maintain accurate leave and benefits documentation, reporting, audits, and HRIS data integrity; analyze and present trends, carrier performance, claim activity, and program utilization to identify risks and recommend process improvements

• Monitor legislative and regulatory changes impacting leave, disability, accommodation, and benefits programs; assess organizational impact and recommend policy, process, and program enhancements

• Develop and maintain process documentation, workflows, employee communications, and training materials; translate business requirements into scalable and compliant processes that support employee experience and operational consistency

Skills and Competencies

• Bilingual in English and French required.

• Post-secondary degree or diploma in Human Resources, Business Administration, or a related field, or an equivalent combination of education and experience

• Minimum 3 years of progressive experience in Canadian leave and disability administration or case management experience.

• Strong knowledge of federal and provincial leave legislation across Canada, including ESA requirements and human rights accommodation obligations

• Proficient in MS Office; Workday HRIS experience strongly preferred

• Strong organizational, analytical, critical thinking, and problem-solving skills with exceptional attention to detail

• Excellent written and verbal communication skills, with the ability to manage sensitive employee matters with tact, discretion, and professionalism

• Strong customer service orientation, sound business acumen, and ability to work independently while maintaining strict confidentiality

JOIN OUR TEAM

Do you believe in the power of innovation, collaboration, and transformation? Do you thrive in a supportive and client focused work environment? Are you looking for an opportunity to help build and drive change in a rapidly growing and evolving organization? When you join HUB, you will be part of a community of learners and doers focused on helping our leaders maximize the potential of their employees.

The expected salary range for this position is $70,000 – $85,000 CAD and will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level.

HUB International is proud to offer comprehensive benefit and total compensation packages which could include extended health benefits, disability insurance, RRSP matching, paid-time-off benefits, and eligible bonuses, and commissions for some positions.

AI and Automation Notice: HUB International uses limited AI and automation tools within our recruitment systems to enhance efficiency in the hiring process and in the candidate experience. These tools do not independently make hiring decisions or screen out candidates — all decisions are made through human review

Department Human Resources

Required Experience: 2-5 years of relevant experience

Required Travel: No Travel Required

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