Disability Claims

1 week 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.

**Hybrid Role**

**What will you do?**
- Conduct quality reviews focusing on case management principles as well as overall case management excellence of assigned disability claims files; record quality assurance results using audit tools
- Review new claim decisions and/or change of definition decisions to assure the quality of the decision as defined by our contract, philosophy and practices
- Meet service levels for quality, quantity and timeliness (individual and team)
- Provide feedback on evaluation along with suggestions of improvement
- Remain current on Group Life and Disability practices and processes
- Provide input on trends to support actionable recommendations for quality improvement
- Provide feedback on the assessment with strong supporting rationale, when there is a disagreement between Quality and Operation

**What do you need to succeed?**
- Must have Long Term Disability Claims Management experience 3-5 years
- Must have minimum of 3 years of experience as a Disability Case Manager
- Experience in auditing, sampling and reconciliation
- Knowledge of Organizational Effectiveness, Group Benefits and understanding of GB strategy
- Knowledge of other Group Benefits areas
- In-depth level of knowledge of disability claims (STD, LTD, and Health Management) processes, controls and systems (3-5 years of long term disability claims experience)
- PC knowledge (Windows XP, Excel, Word)
- 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 2024 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.

We are proud to be a hybrid organization that offers our employees the choice and flexibility to work from both the office and virtually based on the needs of the business, our Clients and you Several 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**:
58,000/58 000 - 93,000/93 000

**Job Category**:
Business Analysis - Process

**Posting End Date**:
17/10/2025

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