Case Manager

🔥 1 hour ago

🦞 Maine – Remote

🦞 Maine – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.
• No salary listed.

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Sun Life

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1865

💼 Consulting

🏥 Healthcare

💸 Finance

Consulting • Healthcare • Finance

Sun Life is a global financial services company headquartered in Toronto, Canada, offering a diverse range of protection, wealth, and health solutions for individuals, businesses, and institutions. The company provides services in insurance, investments, financial advice, and asset management across various regions including North America, Asia, and Europe. Sun Life is committed to sustainability, diversity and inclusion, and creating a positive impact in communities. With a focus on achieving financial security and healthier lives for their clients, Sun Life integrates comprehensive financial solutions and innovative practices to meet the evolving needs of their clientele.

📋 Description

• Reviews and investigates disability claims using telephone and written contact with claimants, employers/supervisors, credit unions, treating physicians, and other applicable parties • Adjudicates claims accurately and fairly in accordance with contracts, claim policies and procedures, and state and federal regulations • Meets productivity and quality standards based on product line • Utilizes appropriate medical and risk resources and transfers claims to the appropriate risk level in a timely manner • Conducts in-depth pre-existing condition or contestable investigations when applicable • Calculates benefit payments, including partial disability, integration with other income sources, survivor, residual disability, and cost-of-living-adjustment benefits • Develops and maintains thorough claim documentation • Documents and communicates claim decisions • Coordinates return to work, working with vocational rehabilitation as necessary • Guides claims management activities of insurance company clients’ claims analysts on co-managed claims when warranted • Collaborates with managers and senior consultants to provide technical assistance and problem-solving strategies • Participates in industry or client meetings • Performs other duties and responsibilities as requested or needed

🎯 Requirements

• Minimum 3 year previous work experience required • Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy • In-depth analytical, critical thinking, problem solving and decision-making skills • In-depth level of knowledge of medical terminology and conditions • Ability to interpret and communicate disability contract language • Excellent verbal communication skills, with the ability to be both pleasant and professional • Strong written communication skills • Solid mathematical skills • Ability to work well independently and in a team environment • 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 • Strong computer skills, proficient in a PC environment and MS Word, Excel, and email systems • Ability to work professionally and effectively with co-workers, clients, claimants, vendors and others with whom FSRMS does business

🏖️ Benefits

• Generous vacation and sick time • Market-leading paid family, parental and adoption leave • Medical coverage • Company paid life and AD&D insurance • Disability programs • Partially paid sabbatical program • 401(k) employer match • Stock purchase options • Employer-funded retirement account • Flexible, inclusive and collaborative work environment • Career growth support

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