Long-Term Disability Case Manager I (Hybrid)

Stryker Corporation; Portland (OR); Hybrid; Confidential; Full time

Job summary

Sun Life U.S. is a leading provider of disability benefits, managing a large caseload of long term disability claims with hybrid work options. The Case Manager I role emphasizes analytical review, communication with claimants, and timely benefit payments.

You will evaluate contract provisions, medical and occupational records, and coordinate with vocational staff to assess rehabilitation opportunities while ensuring accurate claim decisions.

Qualifications

• Excellent written and verbal communication skills with customer service orientation.
• Must be able to work independently and a team environment.
• Ability to conduct detailed claimant interviews.
• Solid critical thinking skills as well as the ability to negotiate with people.
• Demonstrated expert analytical skills with the ability to think creatively and address the strengths and weaknesses of a claim and the fine distinctions in contract language.

Responsibilities

• Manage and prioritize a group of claims on an ongoing basis while maintaining appropriate documentation
• Obtain all pertinent and necessary information to evaluate claim credibility
• Prepare written rationale of claim decision based on review of contractual provisions and analysis of medical and occupational records
• Process claims for payment by setting up on claim paying system to ensure accurate and timely receipt of payment benefits
• Assess vocational rehabilitation opportunities by working with vocational staff
• Use investigative tools, may testify in court cases and provide depositions related to claim disputes based on technical expertise

Skills

Excellent written and verbal comms

Independent & team work

Detailed claimant interviews

Critical thinking & negotiation

Analytical contract analysis

Job description

Sun Life U.S. is a leading provider of disability benefits, managing a large caseload of long term disability claims with hybrid work options. The Case Manager I role emphasizes analytical review, communication with claimants, and timely benefit payments.

You will evaluate contract provisions, medical and occupational records, and coordinate with vocational staff to assess rehabilitation opportunities while ensuring accurate claim decisions.