Disability Adjudicator

2 months ago

Toronto, 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. 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.
- 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 cross-functional team environment
- Strong decision making
- Medical experience obtained through claims assessing, underwriting, nursing and health profession
- Knowledge of disability products and administration

**What's in it for you?**
- Our commitment to talent development
- Comprehensive training programs from the start of employment and ongoing coaching to set you up for success
- Our complete benefits package starting your first day
- Sun Life Savers - Employee discounts available from a variety of partners (communications, travel, shopping, entertainment, etc.)

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**:
01/03/2023

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