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Disability Adjudicator

3 months ago

Montréal, Canada Sun Life Full time

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.

**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. At this point, claims are transitioned to a Disability Case Managers. 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.
- Ensure work is completed accurately and in compliance with practice guidelines.
- Adhere to process audit control reports.

**Required competencies**:

- 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
- Strong team player, with a high interest in working in a cross-functional team environment
- Strong decision making
- Medical experience obtained through claims assessing, underwriting, nursing and health profession
- Knowledge of disability products and administration
- Bilingualism (French, English, both oral and written) is required for the frequent interactions with English and French-speaking colleagues or internal partners across Canada and worldwide.

**What’s in it for you?**
- We’re proud to be recognized as a company with a 2023 Most Trusted Executive team by Great Place to Work® Canada
- Access to short-term assignments or ‘Gigs’ across the organization, to help you develop new skills and connections.
- A collaborative and interactive team environment
- Charitable giving through our You Give, We Give program lets you give back to your community - and in many cases, we’ll match your contributions.
- Care Days available for self-care or care of others (i.e., family or others you may support) and Sick Days to support your well-being.

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.

**Salary Range**:
44,700/44 700 - 73,200/73 200

**Job Category**:
Claims - Life & Disability

**Posting End Date**:
02/06/2024