Absence Leave Specialist

Sun Life • Wellesley, MA

1d

About The Position

The opportunity Come join a fantastic team in a fast paced and exciting work environment! Absence Leave Specialists review claims for leaves of absence and decide if the person applying is eligible to have their leave request approved. Handling various levels of claims give you the opportunity to interact and make a difference for our clients on a daily basis. How you will contribute Review claim requests to ensure the person applying for leave meets all the requirements for approval, including their medical condition, the recommendations of their health care providers, and federal or state guidelines. Reach out to employees, employers, health care providers, and attorneys to get the paperwork or information you need to make a decision. Serve our Clients in a caring and empathetic manner, communicating clearly with them the decisions you make. Approve the leave if the person meets all the requirements. Ensure your claim decisions match the insurance contract and follow all state, federal, and corporate laws, regulations, and procedures. Process claims in a timely manner with accuracy. Protect and maintain personal health information with a high level of confidentiality according to Sun Life procedures and federal rules and regulations. What you will bring with you A passion for helping people, especially in times of need due to illness or injury. Your desire and ability to provide superior service and build positive relationships. Independent, innovative thinking and efficient decision-making skills to support leaves of absence request review and approvals. Your energy to thrive in a fast-paced environment. Attention to detail and organized approach to support documentation of request information. A drive to continuously learn, build, and grow professionally.

Requirements

• A passion for helping people, especially in times of need due to illness or injury.
• Your desire and ability to provide superior service and build positive relationships.
• Independent, innovative thinking and efficient decision-making skills to support leaves of absence request review and approvals.
• Your energy to thrive in a fast-paced environment.
• Attention to detail and organized approach to support documentation of request information.
• A drive to continuously learn, build, and grow professionally.

Responsibilities

• Review claim requests to ensure the person applying for leave meets all the requirements for approval, including their medical condition, the recommendations of their health care providers, and federal or state guidelines.
• Reach out to employees, employers, health care providers, and attorneys to get the paperwork or information you need to make a decision.
• Serve our Clients in a caring and empathetic manner, communicating clearly with them the decisions you make.
• Approve the leave if the person meets all the requirements.
• Ensure your claim decisions match the insurance contract and follow all state, federal, and corporate laws, regulations, and procedures.
• Process claims in a timely manner with accuracy.
• Protect and maintain personal health information with a high level of confidentiality according to Sun Life procedures and federal rules and regulations.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees