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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Location: We support US virtual working arrangements in the contiguous 48 states.

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:

The Senior, Case Manager I, LTD manages claims by conducting a thorough review and investigation, determining what additional resources are appropriate to be utilized, and deciding the initial and ongoing liability.

How you will contribute:

Gathers pertinent claim information, investigates, and adjudicates disability claims by using telephone and written contact with applicable parties (claimant, client, employer/supervisor, treating physician, etc.)

Demonstrates timely and effective utilization of claims support resources, vendors, and tools and understands the role each plays in the management of claims

Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards

Demonstrates mastery of the claims system effectively using online tools to organize, track, prioritize and refer work while maintaining integrity of claims data

Documents and communicates claim discussions and resolutions

Appropriately prioritizes work; anticipates and manages workload and other job requirements effectively

Demonstrates solid understanding of the reinsurance business model

Demonstrates carrier/client understanding, applies client specifics accurately and executes appropriate client brand protection

Participates in in-service and training opportunities as requires

Guides the claims management activities of the insurance company clients\xe2\x80\x99 claim analysts on co-managed claims, as warranted

Serves as a mentor and resource to less experienced case managers

Assists with segment reviews

Assists with excess claim loads

Conducts internal and external claims audits

Conducts internal and external training seminars

Participates in the development of internal policies and procedures

Participates in industry or client meetings

What you will bring with you:

4+ years previous related work experience

Specific disability product line experience required

In-depth understanding of highly complex claims practices, keeps current with industry practices, and contributes to evolving claim management techniques

Actions determined by drawing upon comprehensive knowledge base and highly developed skills. Situations range from less complex to highly complex, often presenting unique circumstances

Ability to mentor new employees

Ability to work in a self-directed manner with minimal assistance from the lead or manager

Exposure to various issues within a specific disability product line with demonstrated experience in generating and selecting solutions to resolve those issues

Maintains appropriate TPA license in accordance with Claims Licensing Policy

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: $68,900 \xe2\x80\x93 103,300 annually

Central region: $72,600 \xe2\x80\x93 108,900 annually

Northern region: $77,600 \xe2\x80\x93 116,400 annually

If you are a Colorado resident, the salary range for this position is $65,700 \xe2\x80\x93 98,600 annually.

If you are a New York resident, the salary range for this position is $77,600 \xe2\x80\x93 116,400 annually.

If you are Washington resident, the salary range for this position is $72,600 \xe2\x80\x93 108,900 annually.

The full range minimum and maximum listed in the job posting is tied to the GCF level and job family.

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 - Life & Disability

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