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.
Job Description:
The Claims Center of Excellence department plays a crucial role with our clients, advisors, sponsors and members as we offer them financial help when they most need it. We are looking for a motivated individual who is eager to hold a position as a Long Term Care Claims Adjudicator OR Senior Claims Adjudicator depending on experience and knowledge. The position offers the possibility to progress internally through our career ladder.
Job Description: As a Long Term Care Claims Adjudicator OR Senior Claims Adjudicator you are in charge of primary assessing Long Term Care claims in your authority.
Main Accountabilities:
- Determine how the contract applies to each claim
- Assess claims and medical documentation received for a claim in order to reach a decision
- Communicate clearly and proactively with clients, advisors and various professionals and effectively manage their expectations
- Maintain established service standards
- Evaluate opportunities for process improvements and actively participate in team initiatives and projects
Competencies:
- Excellent written and verbal communication skills with an ability to handle written and telephone inquiries of a sensitive nature
- 2-3 years in a claims environment
- Attention to detail
- Team player with a positive attitude and commitment to provide quality service
- Ability to balance high work volumes and telephone inquiries
- Good organizational and time-management skills
- Strong problem solving and analytical skills
Requirements:
- Solid PC skills
- As this position is posted in several locations, we specify that bilingualism (French, English, both oral and written) is required for Quebec only to answer calls from English and French-speaking clients across Canada or worldwide.
- Experience in a claims environment
- ALHC diploma or dedication to work towards attaining it.
Assets:
- Education involving knowledge of Medical terminology
- College diploma/university degree/CEGEP degree or relevant experience
- Client service experience
The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other factors. In addition to Base Pay, eligible Sun Life employees participate in various incentive plans, payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.
Diversity and inclusion have always been at the core of our values at Sun Life. A diverse workforce with wide perspectives and creative ideas benefits our clients, the communities where we operate and all of us as colleagues. We welcome applications from qualified individuals from all backgrounds.
Persons with disabilities who need accommodation in the application process or those needing job postings in an alternative format may e-mail a request to thebrightside@sunlife.com.
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:
41,700/41 700 - 68,000/68 000Job Category:
Claims - Life & DisabilityPosting End Date:
20/05/2023
