Field Representative Life & Health Claims

Job Description

What is the opportunity?

The Field Representative investigates, assesses, and reviews insurance claims efficiently and thoroughly by conducting field interviews with claimants, beneficiaries, medical providers, and other relevant parties to gather critical information and verify coverage. This role supports fair claims decisions through detailed investigation and documentation while detecting and preventing fraud to protect claims process integrity.

What will you do?

• Review and analyze claims documents, including medical records, death certificates, employment records

• Collaborate with internal teams to support informed decision-making

• Identify potential fraud indicators in claim file

• Ensure all activities comply with privacy regulations, insurance regulations and company protocols

• Maintain the highest level of integrity, professionalism, and discretion

• Support dispute resolution and attend mediations, examinations, or court proceedings when required

• Stay current on industry regulations, investigative practices and emerging fraud trends

• Provide professional, empathetic communication to clients during sensitive or complex claim situations

What do you need to succeed?

Must-have

• 10+ years of claims adjudication experience, with a strong track record in evaluating and resolving complex claims

• Demonstrated ability to make sound, data-driven decisions under pressure, balancing analytical rigor with timely execution to resolve complex issues

• Deep knowledge of Life and Health insurance products, including Disability, Life, and Specialty lines across diverse business segments

• Proven investigative skills, including conducting interviews, site inspections, and thorough information-gathering to assess claim validity

• Valid driver’s license for occasional travel as needed

Nice-to-have

• Bilingualism (French and English)

What’s in it for you? 

Whether it’s developing new skills, opportunities to innovate and grow, modern and comprehensive benefits, or the flexibility to enjoy the moments that matter, at RBC you have everything you need at your fingertips to build your career and life.

• Working with an award-winning team Awards | RBC Diversity & Inclusion

• A comprehensive Total Rewards package that prioritizes your overall wellbeing, including flexible and modern benefits, competitive compensation and stock options

• Work where you belong as part of a supportive, inclusive team and company that celebrate your unique perspectives, background and experience and want you to bring your whole self to work, every day.

• Leaders who are invested in your success and provide opportunities to learn, to grow and to try new things. Develop new skills, sharpen existing ones and explore paths you never knew existed with a host of learning programs and tools designed to support you in every phase of your career.

• An opportunity to have real impact on the lives of our clients and the communities you serve.

• RBCI software tools to boost your productivity 

Job Skills

Conducting Investigations, Customer Service, Decision Making, Information Collection, Insurance Claims, Insurance Operations, Insurance Product Development, Insurance Regulations, Knowledge of Claims, Process Management, Strategic Thinking, Time Management

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:

2026-04-27

Application Deadline:

2026-05-11

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

Compensation for this position (including salary and discretionary/variable payments) will be determined by factors, including but not limited to candidate's experience, skills, registration status, performance, individual goals, market conditions, and business needs.

Pay Range

The expected pay range for this position is:

$90,000.00 - $140,000.00

The pay range provided is for the primary work location referenced in the Additional Job Details section of this job posting. Pay ranges may differ based on location. If the posting lists multiple job locations, a recruiter can confirm availability of the role and the relevant pay rage for the additional locations listed. RBC supports pay transparency and we strive to ensure all pay ranges are competitive, fair, and equitable.

You have the potential to earn RBC's discretionary variable compensation program which gives you an opportunity to increase your total compensation, provided that business meets its performance targets and you meet your individual goals.

Our Employment Opportunities

At RBC, we are guided by living shared values of Client First, Integrity, Collaboration, Respect and Excellence and winning together as One 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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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.

RBC is presently inviting candidates to apply for this existing vacancy. Applying to this posting allows you to express your interest in this current career opportunity at RBC. Qualified applicants may be contacted to review their resume in more detail.