Disability Case Manager Jobs in Whitby, ON (NOW HIRING)

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At Sun Life, we're driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful.

When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives.

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Job Description:

This Position is for a 1 Year Temporary Assignment

As a Disability Claims Consultant, you will be responsible for assessing and managing disputed disability claims that are referred to the Appeal team through Sun Life's disability appeal process.

What will you do?

• 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

What do you need to succeed?

• Exceptional decision making and case management skills focused on positive outcomes for plan sponsor, plan member and Sun Life Financial

• Critical thinking and stellar client service skills

• Strong analytical, organizational and problem solving skills

• Solid knowledge of group disability insurance policy and coverage concepts

• Excellent listening skills and capacity for empathy

• Exceptional verbal and written communication skills

• Ability to present case reviews in group settings and collaborate in group discussions

• Ability to evaluate and identify key information relevant to each case to present to the Appeal committee

• Ability to deliver constructive decisions and feedback in a tactful and sensitive manner

• Adaptability, flexibility and strong decision making skills

• As this position is posted in several locations, we specify that bilingualism (French, English, both oral and written) is required for Quebec only for the frequent interactions with English and French-speaking colleagues or internal partners across Canada or worldwide.

Assets:

• Abachelor's degree or equivalent business experience

• 3-5 years Disability Claims experience

Reasons why you should join Sun Life?

• A friendly, collaborative and inclusive culture

• A collaborative and interactive team environment

• Working together, sharing common values and encouraging growth & achievement

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 factors. In 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 thebrightside@sunlife.com.

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.

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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