Bilingual Disability Claims Consultant

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.

At Sun Life, we're driven by our

Purpose:

helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful.

When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives.

Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description
This Position is for a 1 Year Temporary Assignment
As a Disability Claims Consultant, you will be responsible for assessing and managing disputed disability claims that are referred to the Appeal team through Sun Life’s disability appeal process.

What will you do?

Assess disputed disability claims in accordance with our claims practices and procedures within the services standards set for the organization

Demonstrate an excellent knowledge of group disability insurance and claims management strategies

Take action on all appeals where information gaps are identified throughout the appeal review by obtaining any relevant outstanding information and/or requesting appropriate third party assessments

Provide support to Disability Case Managers on optimal claims decisions, ensuring that all components including the contract, medical, functional and vocational components are considered as part of the overall assessment of the claim decision

Work with Team Managers to identify and close any gaps on case management and decision deficiencies that surface through coaching

Understand key components to claims decisions, including a focus on the need to evaluate and weigh the totality of information and the impact decisions have on clients

Communicate with clients with respect and empathy throughout the appeal process and tactfully deliver final appeal decisions in a sensitive manner

Report on emerging trends so that they can be addressed and where suitable, learnings can be leveraged nationally

Contribute to a dynamic work environment by identifying opportunities to continuously improve processes to better meet our service excellence, quality and financial commitments to our clients

What do you need to succeed?

Exceptional decision making and case management skills focused on positive outcomes for plan sponsor, plan member and Sun Life Financial

Critical thinking and stellar client service skills

Strong analytical, organizational and problem solving skills

Solid knowledge of group disability insurance policy and coverage concepts

Excellent listening skills and capacity for empathy

Exceptional verbal and written communication skills

Ability to present case reviews in group settings and collaborate in group discussions

Ability to evaluate and identify key information relevant to each case to present to the Appeal committee

Ability to deliver constructive decisions and feedback in a tactful and sensitive manner

Adaptability, flexibility and strong decision making skills

As this position is posted in several locations, we specify that bilingualism (French, English, both oral and written) is required for Quebec only for the frequent interactions with English and French-speaking colleagues or internal partners across Canada or…