Disability Case Manager

at  Sun Life

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You’ll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you’ll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

JOB DESCRIPTION:

The role of Disability Case Manager in the Extended Recovery team is focused on late-stage claim durations. These claims are typically past the 2-year (change of definition) mark but still have opportunities for recovery. A multidimensional approach is required to impact claim durations through innovative and strategic interventions.

• Responsible for managing extended resolution and late-state long term disability claims in a proactive manner. This includes determining if insured employees continue to be eligible for disability benefits through to implementing the right interventions to support recovery and return to work.
• Assess claims for continued benefit entitlement by reviewing contractual, medical, functional and occupational information.
• Assess claims for return-to-work potential and apply strategies based on a variety of interventions including but not limited to: rehabilitation, vocational programs and non-litigated settlements.
• Work collaboratively with insured employees, clients, lawyers, health care practitioners and other stakeholders to obtain information, provide claim status, create action plans and provide verbal and written decisions while maintaining confidentiality and privacy.
• Prepare call strategies in advance, including possible interventions and/or claim resolution strategies. Conduct motivational interviewing within the context of leading exploratory conversations with plan members who have been on claim for prolonged periods of time.
• Build relationships with third party providers to develop and implement creative solutions to help plan members develop new skillsets and re-train for new occupations, return to work part-time and/or at commensurate level.
• Conduct research and keep abreast of new practices and developments in treatment options in the medical field.