Benefit Analyst I

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 6,400 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.

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 Life's 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 claimant's 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

• Bachelor's 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:

$54,900 - $82,400

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. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "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 thebrightside@sunlife.comto 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.