Disability Case Specialist - French Bilingual (For Pooling)

Sun Life; Manila; On-site; PHP 300,000 - 420,000; Full time

Job summary

Sun Life Financial is seeking a Disability Case Specialist to adjudicate disability eligibility for short and long-term benefits. The role involves coordinating medical and rehabilitation interventions, working with clients and stakeholders, and conducting bilingual (English/French) interviews to inform recovery plans.

The position requires strong analytical skills, confidentiality, and a collaborative approach to supporting employees in their return to work.

Qualifications

Responsibilities

• Adjudicate disability for eligibility of short and long-term benefits.
• Coordinate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions, Rehabilitation Consultant resources, and Consulting Mental Health Experts
• Work 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 privacy
• Conduct telephone interviews in English and French to obtain information to develop and maintain outcome-focused case management plans to support employees in their recovery and return to work
• Identify and assess medical and non-medical influencing factors, functional capability, restrictions and limitations
• Build strong relationships with our clients: employers and their employees
• Participate in face to face (virtual) client meetings
• Engage in continuous learning about disability practices and tools

Skills

Bilingual English/French

Disability claims processing

Client communication

Medical information review

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

Overall Purpose

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.

Responsibilities

• Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information
• Coordinate 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 Experts
• Work 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 privacy
• Conduct telephone interviews in both English and French languages to obtain information to develop and maintain outcome-focused case management plans to support employees in their recovery and return to work
• Identify and assess medical and non-medical influencing factors, functional capability, restrictions and limitations
• Build strong relationships with our clients: employers and their employees
• Participate in face to face (virtual) client meetings
• Engage in continuous learning about disability practices and tools

Job Category

Call Centre