Sr Medical Claims Analyst

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 Claims Analyst is responsible for ensuring the accurate and timely processing of medical claims/exceptions for reimbursements to our members. The incumbent will be assigned to handle claims for various clients. There are clearly defined expectations with regard to service targets, productivity standards as well as set levels for related competencies such as: teamwork, customer service, problem-solving, decision-making and giving and receiving feedback.

Reviewing and adjudicating of all aspects and all types of health claims in order to determine appropriate eligibility based on the terms of the group contract, as well as providing excellent service to our members and clients.