Absence & Disability Consultant

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.

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

The opportunity:

TheAbsence & Disability Consultantworks with employers employees and health care providers to administer an integrated Family and Medical Leave Act (FMLA) rights and responsibilities and Short-Term Disability claim. Provides advice and counsel regarding leave administration and effectively coordinates all cases/claims in compliance with the FMLA and all related employment laws. Responsible for the professional management of both routine and complex claims for Group Short Term Disability while working both independently and in a team to ensuresuperiorservice to policyholders and claims and makes final determination for admittance or payment of claims and Company liability within established limits.

How you will contribute:

• Interprets and administers leave programs and policies in accordance with the applicable federal and state employment laws (FMLA ADA USERRA Pregnancy Discrimination Act etc.).
• Facilitation and engagement in interactive dialogue with employees medical professionals supervisors and HR business partners to assist employees.
• Documentation of the request for absence including detailed points of contact and actions taken to coordinate the accommodation request.
• Reviews claim payments within established limits and/or reviews recommendations made by medical resources to determine proper disposition of claims.
• Sets claim action plan to ensure that determinations are adjudicated in a timely accurate and efficient manner.
• Interprets contractsand ensures consistent fair claims practices and adherence to appropriate laws regulations and procedures.
• Obtains backup documentation as necessary to substantiate claims or to provide service by communicating via telephone with agents employers (policyholders) claimants hospitals physicians attorneys and other resources.
• May handle other related duties such as providing technical assistance to other Claims staff or assisting in special projects or assignments.
• Protect and maintain personal health information with a high level of confidentiality abiding by Sun Life procedures and by HIPPA rules and regulations.

What you will bring with you:

• Ability to work with a diverse range of people.
• 1 years of customer absence and claims services experience
• Communicating effectively and professionally with a wide variety of both internal and external Sun Life business partners peers and resources.
• Effective ability to use legal resources and demonstrate a proven ability to comprehend and interpret legal and medical terminology to make final decisions to approve or further investigate claims.
• Attention to detail with documentation reporting and communication.
• Demonstration of strong mathematical skills for calculations and adjustment of claim payments.
• Facilitation skills in a variety of circumstances and with a wide variety of input. Ability to influence and teach.
• Self-directed with an ability to work independently and make independent judgments and decisions.
• Strong organizational skills including the ability to prioritize work and multi-task
• Strong research analytical critical thinking problem solving skills and decision-making skills.
• Ability and desire to work in a fast-paced service-oriented environment.
• Excellent verbal communication skills with the ability to be both pleasant and professional.
• Ability to work professionally and effectively with co-workers clients claimants vendors and others with whom Sun Life does business.
• Strong organizational skills including the ability to prioritize work and multi-task.
• Strong verbal and written communication skills.
• Strong interpersonal and customer service skills.
• Ability to initiate and prioritize regular work duties and projects.
• Detail oriented organized the ability to multi-task and strong time management skills.

Salary Range: $56100 - $84200

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 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.