Disability Adjudicator - Toronto, Canada - Sun Life

Sun Life

Verified Company

Toronto, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

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.

Are you passionate and actively looking to contribute to the health of Canadians? Do you want to be part of our journey in developing the next greatest digital experience? As a leading provider of health benefits in Canada, Sun Life supports the health care needs of millions of Canadians.

In Group Disability, our mandate is to assist our Clients, both employees and employers, in the relentless pursuit of better health.

What will you do?

Assess new short term disability (STD) claims for eligibility (coverage) and benefit entitlement by reviewing contractual, medical and occupational information
Manage STD claims during acute period of absence. Ensure a smooth transition to the Disability Case Managers as required
Develop and maintain appropriate action plans directed toward ethically influencing early and timely recovery, where appropriate.
Communicate in a clear, effective and professional manner with plan members, plan sponsors, in order to obtain information and to convey claim status, action plans and decisions verbally and in writing, taking into account Privacy and Confidentiality and using language and tone that is geared to needs of audience.
Communicates with lawyers, physicians and other departments through electronic mail, telephone, written correspondence and occasionally in person.
Manage claims, using applicable caseload management tools, prioritizing work items in order to meet client service standards
Takes responsibility for own personal job satisfaction and continuous development.
Contribute to and foster a positive working environment. This ranges from identifying opportunities to improve processes and customer service through to providing support to team members, where possible, to ensure service standards are met.

What do you need to succeed?

Excellent communication skills
Ability to handle calls of a sensitive or emotionally charged nature
Well organized individual with strong analytical skills, excellent problem solving ability and can work with a minimum of supervision
Must have a positive attitude, a commitment to quality service and be able to cope with the stress inherent in the nature of disability claims assessing, including high work volumes
Good keyboarding skills and able to work in a PC environment
Attention to detail is important due to the complexity of claims situations and contractual considerations
Adaptability and flexibility are key to success in this role
Strong team player, with a high interest in working in a crossfunctional team environment
Strong decision making
Medical experience obtained through claims assessing, underwriting, nursing and health profession
Knowledge of disability products and administration

Reasons why you should join us under the Sun:

Being a member of the Sun Life family, a group of people united by our Purpose: to help Clients and Employees achieve lifetime financial security and live healthier lives.
A caring, supportive, and inclusive culture
A collaborative and interactive team environment
We're committed to creating an inclusive and respectful environment. Our goal is to make sure all our employees have the chance to live up to their full potential.

LI-Hybrid

When a new position becomes available which matches your background and experience, the base pay range will be disclosed and correspond to the opportunity Sun Life will consider you for.

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.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

Job Category:

Claims - Life & Disability

Posting End Date:

22/02/2024