Life & Disability Claims Analyst — Analytical & Client‑Focused

Sun Life Financial; Philippines; On-site; PHP 600,000 - 900,000; Full time

Job summary

Sun Life Financial in the Philippines seeks a Claims professional to appraise and approve life and disability claims within limits, and to coordinate with Underwriting, Legal and Medical teams. The role involves handling complex inquiries, providing written analyses, and assisting the Claims Manager in decision-making.

The candidate should have a four-year degree, strong analytical and communication skills, and a proactive, client-focused attitude.

Qualifications

• Graduate of any four-year course.
• A medical/allied medical science or legal background would be an advantage.
• Computer literate.
• Very good analytical, judgment, comprehension and conceptual thinking skills.
• Detailed-oriented, organized, systematic.
• Patient and interested to read and familiarize self with provisions of the law, medical materials and review and scrutinize various documents.
• Can work independently and is decisive.
• Can work ably under pressure and can multi-task.
• With strong client service orientation and good sense of urgency.
• Possesses effective interpersonal relationship skills and is a team player.
• With above average written and verbal English communication skills.
• Willing to study and pursue required LOMA and ICA courses under Claims Career Development Program.
• With good attendance and punctuality record.

Responsibilities

• Appraises and approves claims within prescribed approval limits.
• Performs initial review of claims beyond authorized approval limits and submits recommended course of action to Claims Manager.
• Appraises and approves death and living benefit claims, both individual and group insurance, within approval limits.
• Secures Underwriting, Legal and/or Medical input where necessary.
• Appraises claims beyond authorized approval limits, prepares written analysis and recommended action and submits to Claims Manager for review.
• Reviews and approves disbursement requests within limits and submits beyond limits to Claims Manager.
• Attends to claim inquiries ranging from basic to complex in nature.
• Represents Sun Life in mediation and court hearings as required.
• Conducts learning sessions for Claims Services Section.

Skills

Analytical thinking

Attention to detail

English communication

Independent

Team player

Good judgment

Legal awareness

Education

Four-year degree

Tools

Computer literacy

Job description

Sun Life Financial in the Philippines seeks a Claims professional to appraise and approve life and disability claims within limits, and to coordinate with Underwriting, Legal and Medical teams. The role involves handling complex inquiries, providing written analyses, and assisting the Claims Manager in decision-making.

The candidate should have a four-year degree, strong analytical and communication skills, and a proactive, client-focused attitude.