Senior Subrogation & Disability Claims Specialist

Sun Life; Portland (ME); Presencial; USD 73 000 - 109 000; Tempo integral

Resumo da oferta

Sun Life U.S. is seeking a Senior Financial & Subrogation Liaison to collaborate with our subrogation vendor, assess liability, and pursue recoveries on STD and LTD claims. You will evaluate losses, negotiate settlements, and ensure accurate application of policy language to complex subrogation scenarios.

You will guide the claims team, provide constructive feedback, and maintain TPA licenses in line with the Claims Licensing Policy while coordinating with client carriers and external partners.

Qualificações

• Minimum 3 years related work experience; 5 years LTD/STD experience required.
• Excellent interpersonal skills for negotiation and investigations.
• Ability to communicate clearly and build relationships.
• Independent judgment and decision-making ability.
• Advanced analytical and problem-solving skills; multi-tasking ability.
• Strong conflict resolution and workload management skills.
• Familiarity with Claims systems; proficient in MS Office.

Responsabilidades

• Train Claims department including LTD and STD.
• Provide candid feedback to Claims teams.
• Interpret disability and policy language precisely.
• Calculate subrogation and monthly benefit figures.
• Maintain appropriate TPA licenses per policy.

Conhecimentos

Claims training

Feedback to Claims

Disability language interpretation

Policy language interpretation

TPA licensing

Negotiation

Vendor management

Subrogation workflow

Ferramentas

Excel

PowerPoint

Word

Outlook

Descrição da oferta de emprego

Sun Life U.S. is seeking a Senior Financial & Subrogation Liaison to collaborate with our subrogation vendor, assess liability, and pursue recoveries on STD and LTD claims. You will evaluate losses, negotiate settlements, and ensure accurate application of policy language to complex subrogation scenarios.

You will guide the claims team, provide constructive feedback, and maintain TPA licenses in line with the Claims Licensing Policy while coordinating with client carriers and external partners.