Hybrid Life Benefit Claims Examiner I

Sunlife; Portland (ME); Hybrid; USD 56,000 - 84,000; Full time

Benefits offered by this job

Hybrid work model

Competitive benefits

Job summary

Sun Life U.S. is seeking a Life Benefit Case Manager I to conduct reviews, investigations and liability of Group Life Insurance Claims. This experienced examiner role handles more complex cases under supervision and policy guidelines.

The position operates in a hybrid model, requiring in-office presence at least 2 days per week, with competitive pay and comprehensive benefits. You will contribute to accurate claims decisions and continuous improvement initiatives.

Qualifications

• Minimum 2 years of claims experience preferred.
• High School Diploma or equivalent required.
• Strong analytical, critical thinking, problem solving and decision-making skills.

Responsibilities

• Communicates with professionalism and compassion to gather pertinent data for eligibility analysis.
• Adjudicates claims accurately and fairly in accordance with policies and regulations.
• Calculates complex benefit payments with accuracy.
• Meets quality, productivity and customer service standards for claim reviews.

Skills

Claims experience

Analytical thinking

Problem solving

Decision making

Team collaboration

Education

High School Diploma or equivalent

Tools

MS Word

Excel

Email systems

Job description

Sun Life U.S. is seeking a Life Benefit Case Manager I to conduct reviews, investigations and liability of Group Life Insurance Claims. This experienced examiner role handles more complex cases under supervision and policy guidelines.

The position operates in a hybrid model, requiring in-office presence at least 2 days per week, with competitive pay and comprehensive benefits. You will contribute to accurate claims decisions and continuous improvement initiatives.