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Sun Life

Global financial services for insurance, investments

Disability Case Specialist

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeTaguig, Metro Manila, PhilippinesNo salary listed

About the Job

Requirements

  • A degree in Nursing or an allied medical course is required.
  • At least 2 years of related experience in disability case management is required.
  • Strong business process outsourcing healthcare experience is required.
  • Proficiency with computers and Windows PC applications, including the ability to navigate and learn new and complex computer system applications, is required.
  • Ability to multitask and understand multiple products and multiple levels of benefits within each product is required.
  • Critical thinking and analytical skills to solve challenging situations are required.
  • A customer service focus, empathy, and strong communication and listening skills are required.
  • Ability to prioritize work to meet client service standards and company best-practice guidelines is required.
  • Ability to work in a dynamic, fast-paced environment while maintaining attention to detail with complex claims and contracts is required.
  • Adaptability, flexibility, and organization skills are required.
  • Ability to make sound decisions supported by strong rationale is required.
  • Resilience and ability to manage challenging situations are required.
  • Ability to identify opportunities to improve processes is required.
  • Excellent written and verbal English communication skills are required.
  • Ability to work collaboratively and independently is required.
  • Selected candidates must pass a written and oral English-language proficiency test.
  • Selected candidates may be required to complete a case study during the interview.

Responsibilities

  • Adjudicate eligibility for short- and long-term disability benefits by reviewing and analyzing contractual, medical, functional, and occupational information.
  • Coordinate appropriate interventions, including independent medical evaluations, functional capacity evaluations, ergonomic assessments, medical consultant opinions, rehabilitation consultant resources, and consulting mental health experts.
  • Work with insured employees, clients, lawyers, health care practitioners, and other stakeholders to obtain information, provide claim status updates, create action plans, and communicate verbal and written decisions while maintaining confidentiality and privacy.
  • Conduct telephone interviews to obtain information and develop and maintain outcome-focused case management plans that support employees in recovery and return to work.
  • Identify and assess medical and non-medical influencing factors, functional capability, restrictions, and limitations.
  • Build relationships with employer clients and their employees.
  • Participate in virtual face-to-face client meetings.
  • Engage in continuous learning about disability practices and tools.

About the Company

Sun Life

Global financial services for insurance, investments

Sun Life provides a wide range of financial services worldwide, mainly through life and health insurance, financial planning, and investment solutions for individuals, businesses, and institutions. Its products work by collecting premiums for insurance coverage, fees for planning services, and returns on investments; these funds are used to pay claims, support financial planning advice, and generate investment gains. What sets Sun Life apart is its global presence across Canada, the United States, Asia, and Europe, plus a comprehensive product lineup and a focus on helping clients achieve financial security and healthier lives, rather than relying on a single product. The company aims to grow and manage wealth for clients while pursuing sustainability goals, including net zero emissions by 2050.

Company size
10,001+
Company stage
IPO
Headquarters
United States
Founded
1865

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