Case Specialist I, STD
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Job Location:
Portland, TX - USA
Monthly Salary:
$ 49400 - 66700
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
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:
The opportunity
Short-Term Disability insurance provides an income to employees who cannot work due to an illness or injury. As a Case Specialist you will review claims for Short-Term Disability and decide if the person applying for benefits are eligible to receive them. Some claims are easy some are more complex. But all claims give you the opportunity to interact and make a difference for our Clients daily.
How you will contribute
- Review claim forms to make sure the person applying for benefits meets all the requirements to receive benefits including their medical condition the recommendations of their health care providers and the details of the short-term disability contract.
- Approve the benefits if the person meets all these requirements.
- Process these claims in a timely manner with accuracy.
- Serve our clients in a caring and empathetic manner communicating clearly with them the decisions you make.
- Reach out to employees employers health care providers attorneys and anyone else as needed to get the paperwork or information you need to make a decision.
- Make sure all your claim decisions match the insurance contract and follow all laws regulations and procedures.
What you will bring with you
- Passion for helping people especially in times of need due to illness or injury.
- Your desire and ability to provide superior service and build positive relationships.
- Independent thinking and decision-making skills to support payment of benefits.
- Your energy to thrive in a fast-paced environment.
- Drive to continuously learn build and grow professionally.
- The ability to adapts well to change and execute on new concepts.
- Insurance claims experience is not a requirement.
Salary Range: $49400 - $66700
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.
Job Category:
Posting End Date:
Required Experience:
IC
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
Sun Life is a financial services company providing financial planning, life insurance, health insurance, investments and more.
