Disability Claims Consultant at Sun Life
Toronto, ON M5J 2H7, Canada -
Full Time


Start Date

Immediate

Expiry Date

20 Sep, 25

Salary

58000.0

Posted On

21 Jun, 25

Experience

3 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Insurance

Description

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.

Responsibilities
  • Assess disputed disability claims in accordance with our claims practices and procedures within the services standards set for the organization
  • Demonstrate an excellent knowledge of group disability insurance and claims management strategies
  • Take action on all appeals where information gaps are identified throughout the appeal review by obtaining any relevant outstanding information and/or requesting appropriate third party assessments
  • Provide support to Disability Case Managers on optimal claims decisions, ensuring that all components including the contract, medical, functional and vocational components are considered as part of the overall assessment of the claim decision
  • Work with Team Managers to identify and close any gaps on case management and decision deficiencies that surface through coaching
  • Understand key components to claims decisions, including a focus on the need to evaluate and weigh the totality of information and the impact decisions have on clients
  • Communicate with clients with respect and empathy throughout the appeal process and tactfully deliver final appeal decisions in a sensitive manner
  • Report on emerging trends so that they can be addressed and where suitable, learnings can be leveraged nationally
  • Contribute to a dynamic work environment by identifying opportunities to continuously improve processes to better meet our service excellence, quality and financial commitments to our clients
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