Life Benefits Claims Adjudicator I - Hybrid

Sun Life; Wellesley (MA); Hybrid; USD 56.000 - 84.000; Vollzeit

Zusammenfassung

Sun Life U.S. is seeking a Life Benefit Case Manager I to review and adjudicate Group Life Insurance claims. This role requires handling complex calculations and investigations under supervision, with a focus on accuracy and compliance.

Based in the United States with a hybrid work model, you will collaborate with beneficiaries, employers and benefit administrators, documenting decisions in our online systems and contributing to continuous improvement efforts.

Qualifikationen

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

Aufgaben

• Communicate with professionalism and compassion to gather data for eligibility.
• Adjudicate claims accurately and fairly per policy and regulations.
• Calculate complex benefit payments with accuracy.
• Meet quality, productivity, and customer service standards.
• Participate in team meetings and continuous improvement forums.
• Document analyses and decisions in on-line systems.
• Escalate issues to management when needed.
• Maintain flexibility and agile mindset.
• Mentor and assist with training of less experienced staff.
• Demonstrate ownership of professional development.
• Proactively identify ways to improve work practices.

Kenntnisse

Claims experience

Analytical thinking

Communication skills

Problem solving

Decision making

Ausbildung

High School Diploma or equivalent

Tools

MS Word

Excel

Email systems

Jobbeschreibung

Sun Life U.S. is seeking a Life Benefit Case Manager I to review and adjudicate Group Life Insurance claims. This role requires handling complex calculations and investigations under supervision, with a focus on accuracy and compliance.

Based in the United States with a hybrid work model, you will collaborate with beneficiaries, employers and benefit administrators, documenting decisions in our online systems and contributing to continuous improvement efforts.