Benefit Analyst I
Benefit Analyst I
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$ 54900 - 82400
1 Vacancy
Job Description
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 6400 employees and associates in our partner dental practices and operate nationwide.
Job Description:
Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work
The opportunity
As a Benefit Analyst Life Waiver of Premium you will have the opportunity to make a difference in the lives of individuals who have experienced a disability by successfully managing a caseload of life waiver claims. Leverage your analytical and communication skills to work independently while also thriving in a team setting. This role is key to Sun Lifes journey of building the best company in America.
This role requires applying the appropriate policy provisions and department procedures to the medical and occupational facets of each claim to determine if the claim can be approved. This is accomplished by using an inter-disciplinary approach to make accurate claim decisions. Communication skills are needed to explain the decisions and to facilitate optimal outcomes.
How you will contribute
The Benefit Analyst Life Waiver of Premium is accountable for developing coordinating and implementing a plan of action for each claim to ensure it is managed effectively for the duration of the disability.
Conduct initial claim eligibility review
Obtain all pertinent and necessary information to evaluate claims
Confirm that medical evidence supports claimants restrictions & limitations
Prepare written rationale of claim decision based on a review of the contractual provisions and the analysis of the medical and occupational records
Process claims for payment
Develop and document claim strategy for ongoing claim management
Prioritize caseload and work; maintain appropriate documentation
Assess occupational job duties and rehabilitation opportunities by working with vocational staff
Appropriately use investigative tools; may testify in court cases respond to State Insurance Department complaints/requests and provide depositions related to claim disputes based upon technical expertise
What you will bring with you:
Ability to work with a diverse group of people
Bachelors degree is preferred
Claims experience with knowledge of disability/life claim management practices is a plus
Strong computer and technical skills
Exceptional customer service skills
Strong mathematical skills for calculation of claim payments
Excellent organizational skills and an effective ability to multi-task
Solid judgment and discretion with exposure to confidential information
Analytical and problem-solving skills
Ability to work autonomously and in a team environment
Excellent written and verbal communication skills
Strong interpersonal skills
Demonstrated ability to meet deadlines with a high level of accuracy and attention to detail
Salary:
$54900 - $82400
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 options and an employer-funded retirement account. Enjoy a flexible inclusive and collaborative work environment that supports career growth. Were proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S. weve also been recognized as a Top 10 employer by the Boston Globes Top Places to Work for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans unless the accommodation would impose an undue hardship on the operation of our business. Please email to request an accommodation.
For applicants residing in California please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of applicable state and local laws including applicable fair chance ordinances.
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran.
Job Category:
Posting End Date:
Required Experience:
IC
Employment Type
Full-Time
