Long Term Disability - Senior Case Manager I, Ltd

FullscopeRMS helps health plans and insurance carriers grow their businesses with our turn-key solutions for group life & disability, absence management, supplement health and medical stop-loss products.

We are a subsidiary of Sun Life, a leading provider of group insurance benefits in the U.S.. FullscopeRMS also provides group life and disability plans to our clients through the third-party administrator Disability Reinsurance Management Services, Inc., often referred to as DRMS.

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Location: We support US virtual working arrangements in the contiguous 48 states.

FullscopeRMS, a subsidiary of Sun Life, is the nation’s leading provider of turnkey risk management services for group ancillary insurance products. At FullscopeRMS, 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 provide the highest level of service and innovation in the industry.

The opportunity:

Long Term Disability insurance provides income to employees who cannot work for an extended period due to illness or injury. As a Senior Case Manager, you will review claims for Long Term Disability and decide if the person applying for benefits is eligible to receive them. You will have the opportunity to interact with clients during a time of need and establish optimal next steps. Senior Case Managers will assist in mentoring team members to support their growth process and ensure long-term success.

How you will contribute:

• Calculate the benefit amount and approve payment, if the person meets all requirements.
• Review claim forms and the long-term disability contract to make sure the person applying for benefits meets all the requirements to receive benefits. This includes management of complex claims and consideration of claim procedures, their medical condition and the recommendations of their health care providers.
• Prioritize tasks and process claim payments in a timely and accurate manner.

• Serve our clients with empathy and compassion. Maintain proactive client contact, communicating clearly with them the decisions you make throughout the claims process.
• Maintain clear, detailed file documentation outlining your rationale and next steps.
• Collaborate with internal and external partners to identify and execute ongoing action plans.
• Attain and maintain appropriate credit hours and TPA licensing in accordance with the Claims Licensing Policy.

What you will bring with you:

• 5+ years of experience managing Long Term Disability insurance claims (initial and ongoing).

• A passion for helping people and providing exceptional service.
• Ability to identify key priorities and manage time effectively.
• Strong critical thinking skills to arrive at quality claim decisions.
• A desire to develop and maintain positive relationships.
• Excellent verbal and written communication skills
• Proficiency with MS-Office Suite

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

• 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

• 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:

• Northern region: 77,600-116,400 annually
• Southern region: 68,900-103,300 annually
• Central region: 72,600-108,900 annually
  • Northern region: 77,600-116,400 annually

If you are a Colorado resident, the salary range for this position is 65,700-98,600 annually.

If you are a New York resident, the salary range for this position is 77,600-116,400 annually.

If you are Washington resident, the salary range for this position is 72,600-108,900 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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Job Category:

Claims - Life & Disability

Posting End Date: