Senior Case Manager I, LTD

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.  

Job Description:

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work

The opportunity: 

Long Term Disability insurance provides income to employees who cannot work for an extended period due to illness or injury. As a Senior Case Manager, you will review claims for Long Term Disability and decide if the person applying for benefits is eligible to receive them. You will have the opportunity to interact with clients during a time of need and establish optimal next steps. Senior Case Managers will assist in mentoring team members to support their growth process and ensure long-term success.    

How you will contribute:     

• Review claim forms and the long-term disability contract to make sure the person applying for benefits meets all the requirements to receive benefits. This includes management of complex claims and consideration of claim procedures, their medical condition and the recommendations of their health care providers.  

• Calculate the benefit amount and approve payment, if the person meets all requirements.    

• Prioritize tasks and process claim payments in a timely and accurate manner.   

•   Serve our clients with empathy and compassion.  Maintain proactive client contact, communicating clearly with them the decisions you make throughout the claims process.    

• Collaborate with internal and external partners to identify and execute ongoing action plans.    

• Maintain clear, detailed file documentation outlining your rationale and next steps.   

• Attain and maintain appropriate credit hours and TPA licensing in accordance with the Claims Licensing Policy.

What you will bring with you:  

• 5+ years of experience managing Long Term Disability insurance claims (initial and ongoing).

• Excellent verbal and written communication skills

• Proficiency with MS-Office Suite 

• A desire to develop and maintain positive relationships.  

• Strong critical thinking skills to arrive at quality claim decisions.  

• Ability to identify key priorities and manage time effectively.   

• A passion for helping people and providing exceptional service.  

Salary: $71,100 - $106,700

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. 

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We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive.  We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate.  We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.  Plan for your future with our 401(k) employer match, stock purchase op