Claims Analyst: Life & Disability Impact

Sun Life; Philippines; On-site; PHP 400,000 - 600,000; Full time

Job summary

Sun Life is seeking a Claims Analyst to appraise and approve life and disability claims within set limits. You will coordinate with Underwriting, Legal, and Medical inputs to determine the best course of action.

Responsibilities include handling inquiries, representing Sun Life in mediations, and conducting learning sessions for the Claims Services team. A four-year degree and strong English communication are required.

Qualifications

• Four-year degree required; medical/allied medical or legal background advantageous.
• Strong analytical, judgment, comprehension and conceptual thinking skills.
• Detail-oriented, organized and systematic; able to read and interpret laws and medical materials.

Responsibilities

• Appraise and approve death and living benefit claims within approval limits; involve Underwriting, Legal or Medical input as needed.
• Review claims beyond limits; prepare written analyses and recommended actions for Claims Manager.
• Review disbursement requests within limits and escalate beyond limits for approval.
• Handle claim inquiries from basic to complex.
• Represent Sun Life in mediations required by Insurance Commission and court hearings; participate in consultations as needed.
• Conduct learning sessions for Claims Services Section.

Skills

Analytical thinking

Judgment

Detail-oriented

Independent work

English communication

Interpersonal skills

Under pressure

Multi-tasking

Client service orientation

Team player

Willingness to study LOMA/ICA

Education

Four-year degree

Tools

MS Office

Computer literacy

Job description

Sun Life is seeking a Claims Analyst to appraise and approve life and disability claims within set limits. You will coordinate with Underwriting, Legal, and Medical inputs to determine the best course of action.

Responsibilities include handling inquiries, representing Sun Life in mediations, and conducting learning sessions for the Claims Services team. A four-year degree and strong English communication are required.