Disability Case Specialist - French Bilingual (For Pooling)

Sunlife Solar; Taguig; On-site; PHP 3,841,000 - 5,762,000; 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 reviewing medical, contractual and occupational information and coordinating interventions to support employee recovery and return to work.

Responsibilities include conducting bilingual interviews, communicating decisions, and collaborating with various stakeholders while maintaining privacy and confidentiality.

Qualifications

• Experience in disability benefits adjudication.

Responsibilities

• Adjudicate disability for eligibility of short and long-term benefits by reviewing contractual, medical, functional and occupational information.
• Coordinate interventions including independent medical evaluations and assessments.
• Collaborate with insured employees, clients, lawyers and health professionals to obtain information and communicate decisions.
• Conduct telephone interviews in English and French to develop case management plans for recovery and return to work.
• Identify influencing factors, functional capacity, restrictions and limitations.
• Build relationships with clients and their employees.
• Participate in client meetings (virtual or in-person).
• Engage in continuous learning about disability practices and tools.

Skills

Bilingual English/French

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