You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
Job Description:
Location: We support US virtual working arrangements in the contiguous 48 states.
At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.
The opportunity:
The Life Benefit Case Manager I conduct the reviews, investigation, and liability of Group Life Insurance Claims. The Life Benefit Case Manager I is an experienced claims examiner role that requires skills to process more complex claims beyond a Life Benefit Specialist, such as High Dollar, Complex Benefit Calculations and Accidental Death investigations. The Life Benefit Case Manager I work under direct supervision of the Senior Manager, following established guidelines to ensure claims are adjudicated in accordance with Sun Life Issued Group Life Insurance policies.
How you will contribute:
Communicates with professionalism and compassion using telephone and written contact with the applicable parties (i.e., beneficiary, employer/benefit administrator) to gather pertinent data to analyze eligibility for the Life Benefit
Adjudicates claims accurately and fairly in accordance with the policy, appropriate claim policies and procedures as well as state and federal regulations.
Calculates complex benefit payments, which may include applicable interest payable, with accuracy.
Meets established quality control measures, individual productivity requirements as well as customer service standards for claim reviews and decisions.
Engages in departmental team meetings and leads Continuous Improvement forums to identify process and efficiency enhancements.
Ability to accurately document and provide proper analysis to claim decisions in an on-line environment.
Escalates issues to management as needed.
Works effectively and independently in a virtual team environment, building relationships with peers as well as with staff from other departments.
Mentors and assist with training of less experienced employees.
Proactively problem solves and regularly identifies ways to improve their own work practices, and those of others.
Shows ownership in professional development.
Maintains flexibility with change and agile mindset.
What you will bring with you:
Ability to work with a diverse group of people.
2+years of claims experience preferred.
High School Diploma or equivalent required
Strong analytical, critical thinking, problem solving and decision-making skills.
Communicates effectively and professionally with others, written and verbally.
Strong computer skills, proficient in a PC environment and MS Word, Excel, and Outlook
Ability to work well independently and in a team environment.
Strong commitment to client service and quality
Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
Life is brighter when you work at Sun Life
Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more.
Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account.
A flexible work environment with a friendly, caring, collaborative and inclusive culture.
Great Place to Work® Certified in Canada and the U.S.
Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
If you are a California resident, the salary range for this position is:
Southern region: $55,000 - $82,500 annually
Central region: $58,000 - $87,000 annually
Northern region: $62,000 - $93,000 annually
If you are a Colorado resident, the salary range for this position is $52,500 - $78,800 annually.
If you are a New York resident, the salary range for this position is $62,000 - $93,000 annually.
If you are Washington resident, the salary range for this position is $58,000 - $87,000 annually.
We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.
Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
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Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email recruitingUS@sunlife.com to request an accommodation.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
