Job Description

You are as unique as your background, experience and point of view. Here, you\xe2\x80\x99ll 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.

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At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you\xe2\x80\x99ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.

The opportunity: Sun Life operates with a Work Is Healthy (WisH) approach for disability claims management. As a Clinical Consultant within our Clinical Services team, you will apply your clinical expertise as a member of an interdisciplinary team that focuses on returning clients to optimal levels of productivity. This role does not involve hands-on assessment or direct care. This is a remote role.

How you will contribute:

• Conduct comprehensive clinical assessments of disability claims that are referred in different venues.
• Provide clarification of medical information and/or interpret medical reports (IMEs/FCEs, hospital and office records, and health care provider\xe2\x80\x99s (HCP) calls and letters) and evaluate restrictions and limitations to assess current and ongoing level of impairment.
• Gather pertinent facts and answer questions in collaboration with claims professionals.
• Apply current clinical knowledge to medical data regarding diagnosis, treatment, prognosis, and impairment.
• Participate proactively through early assessment of medical conditions, functional capacity, and return to work (RTW) opportunities
• Provide whole person analysis, documenting rationale for opinions and recommended next steps.
• Make appropriate decisions and takes action to obtain additional medical information and/or referral to the appropriate resource, such as physician, claims professional, or vocational resource.
• Provide input and assistance to identify and collect pertinent medical information through outreach communications with attending physicians, claimants/insureds, and employers.
• Assist with urgency in providing support to claims professionals to determine claim direction and facilitate next steps.
• Outreach to health care provider (HCP), insured, or as indicated to discuss complex medical issues and document outcomes of discussion.
• Coordinate with Vocational Rehabilitation Consultant (VRCs) and others in regard to return-to-work services.
• Evaluate each claim file for RTW opportunities and partners with the VRC to develop RTW plans as indicated.
• Partner with VRC to identify functional capabilities for alternative occupations/job duties.
• Provide consultation and education to peers and a variety of other business partners.

What you will bring with you:

• Ability to work with a diverse range of people
• Attention to detail with documentation, reporting and communication
• Ability to communicate effectively and professionally with a wide variety of both internal and external Sun Life business partners, peers and resources
• Excellent facilitation and presentation ability
• Self-directed with an ability to work independently and make independent judgements and decisions
• Strong organizational skills, including the ability to prioritize work and multi-task
• Exceptional research, analytical, critical thinking, problem solving and decision-making skills
• Ability to thrive in a fast-paced, service-oriented environment
• Strong computer skills
• Drive to continuously learn, build, and grow professionally

Required Education and Experience:

• Active and valid RN License
• Specialty certification such as CCM or CRRN is preferred
• 2+ years clinical experience working with an adult population
• Experience in rehabilitation setting, Occupational Health, Case/Care Management, Disability Insurance, Group Benefits or Workers Compensation a plus
• Demonstrated ability to work in a deadline-oriented environment managing multiple priorities
• Proficiency in Microsoft suite tools including Excel, Word and PowerPoint

Do you see yourself in this role even if you haven\xe2\x80\x99t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.

Not ready to apply yet but want to stay in touch? to stay connected until the time is right for you!

Life is brighter when you work at Sun Life

• Excellent benefits and wellness programs to support the three pillars of your well-being \xe2\x80\x93 mental, physical and financial \xe2\x80\x93 including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
• Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
• A flexible work environment with a friendly, caring, collaborative and inclusive culture
• Great Place to Work\xc2\xae Certified in Canada and the U.S.
• Named as a \xe2\x80\x9cTop 10\xe2\x80\x9d employer by the Boston Globe\'s \xe2\x80\x9cTop Places to Work\xe2\x80\x9d two years running

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

If you are a California resident, the salary range for this position is:

• Southern region: $76,000-$114,100 annually
• Central region: $80,200-$120,300 annually
• Northern region: $85,700-$128,600 annually

If you are a Colorado resident, the salary range for this position is $72,600-$108,900 annually.

If you are a New York resident, the salary range for this position is $85,700-$128,600 annually.

If you are Washington resident, the salary range for this position is $80,200-$120,300 annually.

We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.

Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

#LI-remote

Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email to request an accommodation.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

For applicants residing in California, please read our employee

Job Category: Claims \xe2\x80\x93 Clinical

Posting End Date:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Sun Life Financial