Disability Case Specialist

Sun Life Financial; Philippines; Remote; PHP 279,000 - 502,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Life and disability insurance

Paid vacation

Job summary

Sun Life Financial in the Philippines is seeking a Disability Case Specialist to adjudicate disability eligibility for short and long-term benefits. You will coordinate interventions, gather information, and communicate decisions while maintaining confidentiality and privacy.

The role requires a nursing or allied medical degree with at least 2 years in disability case management and strong BPO healthcare experience, plus proficiency with Windows PC applications.

Qualifications

• Degree in Nursing or allied medical courses.
• At least 2 years related experience in disability case management.
• Strong BPO Healthcare experience.
• Proficiency with computer and Windows PC applications.

Responsibilities

• Adjudicate disability for eligibility of short and long-term benefits.
• Coordinate interventions and collaborate with stakeholders to obtain information and communicate decisions.
• Conduct telephone interviews to develop and maintain outcome-focused case management plans.
• Identify factors affecting functional capability and return-to-work plans.
• Build relationships with clients and participate in face-to-face or virtual client meetings.

Skills

Disability case mgmt

BPO healthcare experience

Computer proficiency

Multitasking

Education

Nursing degree

Allied medical degree

Tools

Windows PC

Job description

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: Are you interested in contributing to the health of Canadians? At Sun Life, we believe health is a significant determinant of success for both organizations and individuals; if so, consider a career as a Disability Case Specialist at Sun Life Financial where we believe in the relentless pursuit of better health and where we support our client and their employees in this journey.

What will you do?

Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationCoordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions, Rehabilitation Consultant resources, and Consulting Mental Health ExpertsWork collaboratively with insured employees, clients, lawyers, health care practitioners and other stakeholders to obtain information, provide claim status, create action plans and communicate verbal and written decisions while maintaining confidentiality and privacyConduct telephone interviews to obtain information to develop and maintain outcome-focused case management plans to support employees in their recovery and return to workIdentify and assess medical and non-medical influencing factors, functional capability, restrictions and limitationsBuild strong relationships with our clients: employers and their employeesParticipate in face to face (virtual) client meetingsEngage in continuous learning about disability practices and tools

Required Qualifications

Degree in Nursing or any allied medical coursesAt least 2 years related experience in disability case managementStrong BPO Healthcare experienceProficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applicationsAbility to multi-task including the ability to understand multiple products and multiple levels of benefits within each product

Competencies

Critical thinking and analytical skills with a passion for solving challenging situationsCustomer service focus; demonstrating empathy, with outstanding communication and listening skillsAbility to prioritize work items in order to meet client service standards and Sun Life best practice guidelinesThrives in a dynamic, fast paced environment while maintaining attention to detail with complex claims and contractsAdaptability, flexibility, and excellent organization skillsAbility to make sound decisions, supported by strong rationaleResiliency and ability to manage challenging situationsIdentifying opportunities to improve processesExcellent written and verbal communication skills (English language)Collaborative Team Player who can effectively work independently and with others

What’s in it for you?

Being a member of the Sun Life family, a group of people united by our Purpose: to help Clients and Employees achieve lifetime financial security and live healthier livesA benefits package including: medical, dental, life and disability insurance, and paid vacationComprehensive training program in classroom and ongoing to be set up for successA friendly, collaborative and inclusive cultureFitness and wellness programs that help you balance work and life and enjoy a healthier lifestyleOpportunity to work from home up once fully trainedAn environment of continuous learning and improvement – Education Assistance provided

We are an equal opportunity employer and welcome applications from Persons with Disabilities.

Shine together At Sun Life, you can be your most brilliant self. Our supportive, flexible, and inclusive work environment is one where you – and your career – can thrive. Whatever your aspirations, collaborative leaders and colleagues are ready to help you learn, grow, and succeed. Make life brighter

We’re a global company with a passion for people. Our purpose is to help Clients achieve lifetime financial security and live healthier lives. As a team of 30,000 across 26 countries, our impact is far-reaching, and locally relevant There’s power in numbers. As part of Sun Life’s growing team, you have an impact on people in your community and around the world. Shape the future With an optimistic eye on a brighter future, we drive to innovate. Be part of leading change, push boundaries and try new ways of working. Use data to drive bold actions. Be agile and pivot as we test and learn. At Sun Life, we’re driving transformation, sustainability and innovation for our Clients, employees, partners, and communities. Join us. Together, we can make the future brighter. Join a top employer for a brighter future.