Case Manager I, Ltd

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.

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:

In the role of Case Manager I, LTD you will have the opportunity to make a difference in the lives of individuals who have experienced a disability by successfully managing a caseload of long-term disability claims. Leverage your analytical and communication skills to work on one’s own while also thriving in a team setting. This role is key in Sun Life’s journey of building the best benefits company in America.

In this role, you will manage client service, the benefit payment process and the financial risk associated with an assigned block of Long-Term Disability claims. The Case Manager will apply the appropriate contractual provisions, legal guidelines, claims procedures and protocols to the facts of each claim to reach a conclusion on its acceptance or denial and the duration of the benefit payment. You will be responsible for clearly communicating the rationale with confidence and sensitivity for the claimant’s circumstances.

Management accountability for a fully trained Case Manager (typical learning curve of 12 to 18 months) extends to a caseload range of 70-85 LTD claims. A Case Manager who is new in the position is responsible for a smaller caseload with oversight by the team’s Manager and feedback from a more experienced claims mentor.

How you will contribute:

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

What you will bring with you:

• Bachelor's Degree preferred, or relevant work experience
• Solid critical thinking skills as well as the ability to negotiate with people
• Excellent written and verbal communication skills with client service orientation
• 3+years’ experience managing Long Term Disability Claims, strongly preferred
• 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
• Ability to conduct detailed claimant interviews
• Ability to work with a diverse range of people
• Must be able to work on one’s own and a team environment

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

• Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running
• Great Place to Work® Certified in Canada and the U.S.
• 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
• A flexible work environment with a friendly, caring, collaborative and inclusive culture
• 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

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.

• The full range minimum and maximum listed in the job posting is tied to the GCF level and job family.

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.

#LI-remote

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 [email protected] 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.

Claims - Life & Disability

17/09/2023

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.