Remote Claims Administrator I – Disability Claims

Sun Life; United States; Remote; USD 34,000 - 39,000; Full time

Benefits offered by this job

Hospital plans

401(k) plan

Life Insurance

Disability coverage

HSA & DCFSA

Employee Assistance Program

Paid time off

Job summary

Sun Life Financial seeks a motivated Short Term Disability Claims professional to manage routine claims, determine benefits, and deliver superior service to clients and claimants. Work independently and with teammates to adjudicate timely, accurate outcomes.

This six‑month remote contract via Allegis Global Solutions requires strong math, careful documentation, and the ability to interpret contracts and medical terminology.

Qualifications

• 1+ years of customer service or financial services experience required.
• Claims management experience is a strong asset.
• Associate or Bachelor's degree preferred.

Responsibilities

• Review and make final determinations on benefit approvals or denials for routine short term disability claims.
• Approve payment of claims within established limits using guidelines where appropriate.
• Review duration guidelines from Clinical and Vocational resources to determine claim disposition.
• Document Strategy Assessments to ensure timely adjudication.
• Interpret contracts to ensure fair claims practices per laws and procedures.
• Obtain backup documentation and communicate with employers, claimants, physicians, attorneys, and others.
• Support other claims staff and assist with special projects as needed.
• Maintain regular, reliable attendance on a full-time basis.

Skills

Mathematical skills

Decision making

Legal/medical terminology

Organizational skills

Written communication

Verbal communication

Client service focus

Analytical skills

Team collaboration

Confidential information handling

Attention to detail

MS Office (Outlook/Word/Excel)

Adaptability to computer applications

Education

Associate or Bachelor's degree

Tools

MS Office

Outlook

Word

Excel

Job description

Sun Life Financial seeks a motivated Short Term Disability Claims professional to manage routine claims, determine benefits, and deliver superior service to clients and claimants. Work independently and with teammates to adjudicate timely, accurate outcomes.

This six‑month remote contract via Allegis Global Solutions requires strong math, careful documentation, and the ability to interpret contracts and medical terminology.