Senior Claims Adjudicator

You are as unique as your background experience and point of view. Here youll be encouraged empowered and challenged to be your best self. Youll 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 youll 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:

Employment type: 1-year contract

Are you interested in contributing to the health of Canadians At Sun Life we believe in being there when it matters most. If you are interested in delivering on these key moments are action-oriented and demonstrate empathy we want you to join our company. Putting the client at the center of everything we do we will work together to create the moment of claim adjudicators can make a difference in our clients lives and in return we actively support their professional development by offering a dynamic workplace challenging and rewarding work and opportunities to build an exciting career!

As a Living Benefits Claim Adjudicator you play a crucial role in the lives of our clients and offer them financial reassurance when they most need this role you will be responsible for case managing living benefit claims to includes determining eligibility through to supporting recovery and return to work for approved claims.

What will you do

• Build strong relationships with our advisors working in partnership with them to facilitate the claim experience
• Manage living benefits insurance claims and analyze medical
• Assess claims for benefit entitlement by reviewing contractual medical functional and occupational information
• Work collaboratively with advisors clients 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
• Demonstrate empathy
• Prioritize work items to meet client service standards and Sun Life best practice guidelines
• Contribute to a dynamic work environment by identifying opportunities to improve processes and client focused delivery
• Communicate clearly and proactively with clients advisors and various professionals and effectively manage their expectations
• Evaluate opportunities for process improvements and actively participate in team initiatives and projects

Requirements:

• Bilingualism (French English) is required for the frequent interactions with English and French-speaking colleagues or internal partners across Canada
• Excellent written and verbal communication skills with an ability to handle sensitive inquiries
• Extensive knowledge of medical terminology
• Experience in handling Critical Illness Long-Term Care and/or Individual Disability claims
• Excellent problem solving and analytical skills
• Attention to detail
• Team player with a positive attitude and commitment to provide outstanding quality service
• Strong organizational and time-management skills
• Strong computer skills with knowledge of Word and Excel
• College diploma/university degree/CEGEP degree or relevant experience

Assets:

• Education involving knowledge of the anatomy (e.g. nursing kinesiology etc.)
• Individual insurance product knowledge
• LOMA courses and FLHC designation or dedication to work towards attaining it

What Sets Us Apart

• Our commitment to service excellence and quality innovation and talent development
• Career progression is based on solid performance knowledge of our business and products positive engagement with our clients and your interests opening up a wide variety of career paths within Sun Life
• Ability to work in a dynamic collaborative environment where you are encouraged to share your ideas
• Comprehensive benefits package including:
  • Medical dental and life insurance
  • Paid vacation
  • Tuition assistance
• A supportive and interactive team environment
• Comprehensive training programs from the start of employment and ongoing coaching to set you up for success

#LI-Hybrid

The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other addition to Base Pay eligible Sun Life employees participate in various incentive plans payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.

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 .

We are proud to be a hybrid organization that offers our employees the choice and flexibility to work from both the office and virtually based on the needs of the business our Clients and you! Several work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

We may use artificial intelligence to support candidate sourcing screening interview scheduling.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

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