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About the Role
As a Disability Claims Consultant, you will be responsible for assessing and managing disputed disability claims that are referred to the Appeal team through Sun Life’s disability appeal process. This is a 1-year temporary assignment.
Responsibilities
- Assess disputed disability claims in accordance with claims practices and procedures within established service standards.
- Demonstrate excellent knowledge of group disability insurance and claims management strategies.
- Obtain relevant outstanding information or request third-party assessments for identified information gaps.
- Provide support to Disability Case Managers on optimal claims decisions, considering contract, medical, functional, and vocational components.
- Collaborate with Team Managers to identify and address deficiencies in case management and decision-making through coaching.
- Evaluate and weigh the totality of information and its impact on clients when making claims decisions.
- Communicate with clients with respect and empathy throughout the appeal process and deliver final decisions tactfully.
- Report on emerging trends to facilitate addressing and leveraging learnings nationally.
- Contribute to a dynamic work environment by identifying opportunities for process improvement to meet service excellence, quality, and financial commitments.
Requirements
- Exceptional decision-making and case management skills focused on positive outcomes for plan sponsors, plan members, and Sun Life Financial.
- Critical thinking and stellar client service skills.
- Strong analytical, organizational, and problem-solving skills.
- Solid knowledge of group disability insurance policy and coverage concepts.
- Excellent listening skills and capacity for empathy.
- Exceptional verbal and written communication skills.
- Ability to present case reviews in group settings and collaborate in group discussions.
- Ability to evaluate and identify key information relevant to each case for presentation to the Appeal committee.
- Ability to deliver constructive decisions and feedback in a tactful and sensitive manner.
- Adaptability, flexibility, and strong decision-making skills.
- Bilingualism (French, English, both oral and written) is required for Quebec only.
Skills
- Group disability insurance
- Claims management
- Decision making
- Case management
- Client service
- Analytical skills
- Organizational skills
- Problem solving
- Listening skills
- Empathy
- Verbal communication
- Written communication
- Presentation skills
- Collaboration
- Adaptability
- Flexibility
Location
- Quebec
Work Type
- Hybrid
- Temporary Assignment
Experience Level
- 3-5 years Disability Claims experience
Education Level
- Bachelor's degree or equivalent business experience
Salary/Compensations
- $58,000 - $93,000
Benefits
- Friendly, collaborative and inclusive culture
- Collaborative and interactive team environment
- Encouragement of growth & achievement
About the Company
- Sun Life is driven by its Purpose: helping Clients achieve lifetime financial security and live healthier lives.
- Sun Life values: caring, authentic, bold, inspiring, and impactful.
- Sun Life is a hybrid organization offering employees the choice and flexibility to work from both the office and virtually.
- Sun Life may use artificial intelligence to support candidate sourcing, screening, and interview scheduling.
Equal Opportunity
- Diversity and inclusion have always been at the core of our values at Sun Life.
- A diverse workforce with wide perspectives and creative ideas benefits our Clients, the communities where we operate and all of us as colleagues.
- We welcome applications from qualified individuals from all backgrounds.
- Persons with disabilities who need accommodation in the application process, or those needing job postings in an alternative format, may e-mail a request to thebrightside@sunlife.com.