Disability Case Specialist - French Bilingual (For Pooling)

Sun Life; Taguig; Sur place; PHP 2 655 000 - 3 982 000; Plein temps

Résumé du poste

Sun Life Financial in Canada seeks a Disability Case Specialist to adjudicate eligibility for short- and long-term disability benefits, reviewing medical, contractual and occupational information to support decisions.

You will conduct bilingual interviews (English and French), collaborate with insured employees, clients, lawyers, and healthcare professionals to develop outcome-focused case plans while maintaining confidentiality and service quality, and participate in continuous learning to stay

Responsabilités

• 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.

Description du poste

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