Senior Consultant I, LTD Claims Investigation Services

The Opportunity

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.

The Senior Consultant I, LTD Claims Investigation Services assists in obtaining information that may be relevant to the claims investigation and adjudication process. Senior Consultants (CIS) assist Case Managers to complete investigations that reflect strong claims fundamentals. If you have the desire to assist in technology driven public information searches and activities investigations, to liaison with Compliance when misrepresentation is expected, and to collaborate with claims colleagues regarding case management strategies - this could be the role for you. We are looking for a candidate with a high level of energy who will leverage their claims management experience and analytical skills in a collaborative team environment.

How you will contribute

• Audit files with the ability to handle multiple priorities simultaneously to prevent, detect and mitigate suspicious activity.
• Triage files with case managers, clinical and vocational staff.
• Coordinate background checks and surveillance with vendors.
• Manage and prioritize a group of claims on an ongoing basis while maintaining appropriate documentation.
• Obtain all pertinent and necessary information to evaluate claim credibility.
• Use investigative tools, may testify in court cases and provide depositions related to claim disputes based on technical expertise

What you will bring with you

• Ability to work with a diverse range of people
• 3+ years' experience managing Group Disability Claims, strongly preferred.
• Demonstrated expert analytical skills with the ability to think creatively and address the strengths and weaknesses of a claim and the fine distinctions in contract language
• Excellent written and verbal communication skills with client service orientation
• Must be able to work independently and a team environment
• Ability to conduct detailed claimant interviews
• Solid critical thinking skills as well as the ability to negotiate with people

Pay

$72,500 - $108,800

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