Bilingual Disability Claims & Appeals Specialist

Sun Life; Halifax; Hybrid; CAD 58,000 - 93,000; Full time

Job summary

Sun Life is seeking a Disability Claims Consultant for a 1-year temporary assignment in Halifax. You will assess disputed disability claims and support decision-making with a focus on client outcomes and adherence to policy.

You will collaborate with the Appeal team to obtain information, communicate decisions respectfully, and contribute to process improvements while working in a hybrid environment.

Qualifications

• 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; present reviews in group settings.
• Ability to evaluate and identify key information 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.
• Bilingualism (French, English) required for Quebec interactions.

Responsibilities

• Assess disputed disability claims in accordance with claims practices and procedures.
• Demonstrate a strong knowledge of group disability insurance and claims management.
• Take action on appeals with information gaps by obtaining missing information or third party assessments.
• Support Disability Case Managers on optimal claims decisions considering contract, medical, functional and vocational components.
• Collaborate with Team Managers to close gaps on case management and decision deficiencies.
• Understand key components of claims decisions and weigh total information for client impact.
• Communicate with clients with respect and empathy throughout the appeal process.
• Report on emerging trends to address issues nationally.
• Identify opportunities to improve processes for service excellence and financial commitments.

Skills

Decision making

Client service

Analytical thinking

Problem solving

Verbal communication

Written communication

Empathy

Adaptability

Education

Bachelor's degree or equivalent

Job description

Sun Life is seeking a Disability Claims Consultant for a 1-year temporary assignment in Halifax. You will assess disputed disability claims and support decision-making with a focus on client outcomes and adherence to policy.

You will collaborate with the Appeal team to obtain information, communicate decisions respectfully, and contribute to process improvements while working in a hybrid environment.