Disability Claims Consultant

Sun Life Financial; Toronto; Hybrid; CAD 54,000 - 91,000; Full time

Job summary

Sun Life Financial is seeking a Disability Claims Consultant to manage disputed claims through the appeal process. This role requires exceptional decision-making and communication skills while supporting clients with empathy. Candidates should possess a bachelor's degree and 3-5 years of disability claims experience, with a focus on achieving positive outcomes for clients.

Benefits

Diversity and inclusion initiatives

Collaborative team environment

Flexible work options

Qualifications

• 3-5 years Disability Claims experience required.
• Bilingualism (English, French) is an asset for certain locations.

Responsibilities

• Assess and manage disputed disability claims.
• Support Disability Case Managers on claims decisions.
• Communicate sensitively with clients during the appeal process.

Skills

Decision Making

Critical Thinking

Analytical Skills

Communication Skills

Client Service

Education

Bachelor's degree or equivalent business experience

Job description

Disability Claims Consultant page is loaded

Disability Claims Consultant

Apply locations Waterloo, Ontario Toronto, Ontario Edmonton, Alberta Montreal, Quebec Vancouver, British Columbia time type Full time posted on Posted 2 Days Ago job requisition id JR00112024

You are as unique as your background, experience and point of view. Here, you’ll 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.

Job Description:

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 to answer calls from English and French-speaking clients across Canada or worldwide.

Assets:

• Abachelor's degree or equivalent business experience

• 3-5 years Disability Claims experience

• Bilingualism is an asset

What’s in it for you?

• A friendly, collaborative and inclusive culture

• A collaborative and interactive team environment

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

#LI-MC1 #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 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 [e-mail] .

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

Salary Range:

54,000/54 000 - 91,000/91 000

Job Category:

Claims - Life & Disability

Posting End Date:

26/06/2025

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