Member Support Specialist

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:

Member Support Specialists are the face to Sun Lifes external clients. The position is accountable for the intake of all telephone calls and inquiries from claimants and policyholders as well as Sun Lifes internal claims professionals and Client Relationship Executives. Individuals in this role uphold our commitment to providing the highest level of customer service standards in order to ensure our clients complete satisfaction.

How you will contribute:

• Will act as the primary contact for our Members and be responsible for answering Customer inquiries and identifying solutions to any problems during peak times as needed.
  • Support and take ownership of member inquiries and requests through inbound telephone calls. Some inquiries may require research and outbound follow-up.
  • Inquiries will focus on aspects of the clients group benefits plan. Topics will include details about their eligibility coverage and claims.
  • Effectively listen to members and determine the best course of action. Most calls are resolved through well documented processes.
  • Empathetically assist the member through the claims process.
  • Provide feedback received from clients or from your own observations to identify and drive business changes needed to create an improved client experience.
  • Achieve productivity scheduled adherence and quality assurance expectations as well as exude leadership competencies that contribute to a successful team environment.
• When not supporting Customer Calls responsibilities will also include administrative duties which facilitate new claim set up and management of existing claims within Claim Shared Services
  • Review STD LTD Life Life Waiver of Premium Absence Documents
  • Manage Special Handling Process using instructions which vary for each group
  • Provide input and recommendations and analysis to management on business process
  • Emphasize Continuous Improvement either enhancing the client experience or creating an efficiency.
  • Assignment of tasks to the appropriate area based on various criteria
  • Ability to identify complex diagnosis and handle accordingly
  • Able to meet production goals each day based on work assigned
  • Ability to maintain a high level of accuracy when handing assigned work
  • Respond to all emails both internal and external within the required timeframe
  • May assist in special project work or other duties as defined by the needs of the business
  • Requires working knowledge of claim processing procedures and system applications
  • Requires critical thinking skills high accuracy quality work products ability to multi-task and maintain a high production of pace and focus
  • Must possess appropriate verbal communication skills to address various departments and clients
• Effective judgement to use both categories of skills when applicable as outlined above to enhance or expedite the client experience

What you will bring with you:

• Representatives must act with a sense of urgency by being responsive and resolving service issues as quickly as possible
• Flexibility in being able to shift between different responsibilities throughout the day or based on the task at hand
• Ability to identify trends based on customer feedback or self-observations in order to drive an improved customer experience
• The ability to actively listen to customers paying attention to their needs frustrations and suggestions is critical
• Manage stressful situations with composed behavior demonstrating empathy and understanding
• Demonstrated aptitude in problem solving and thinking outside the box
• Possess the capability to work effectively in a fast paced environment that demands high energy and passion for customer service
• Commitment is required to be flexible adaptable and motivated to pitch in and support the teams work at all times
• Proven record of providing strong and effective customer service
• Ambition to continuously learn and develop professionally through feedback and coaching
• Solid systems and technology skills
• Strong verbal and written communication skills
• Proficiency with Windows and Microsoft Applications
• Ability to work in a fast pace high volume and deadline driven environment
• Strong working both independently and as part of a team
• Bachelors degree or equivalent work experience preferred

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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.