Case Specialist I, STD

Sun Life•Portland, ME

About The Position

Short-Term Disability insurance provides an income to employees who cannot work due to an illness or injury. As a Case Specialist, you will review claims for Short-Term Disability and decide if the person applying for benefits are eligible to receive them. Some claims are easy, some are more complex. But all claims give you the opportunity to interact and make a difference for our Clients daily.

Requirements

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 thinking and decision-making skills to support payment of benefits.
Your energy to thrive in a fast-paced environment.
Drive to continuously learn, build, and grow professionally.
The ability to adapts well to change and execute on new concepts.

Nice To Haves

Insurance claims experience is not a requirement.

Responsibilities

Review claim forms to make sure the person applying for benefits meets all the requirements to receive benefits, including their medical condition, the recommendations of their health care providers, and the details of the short-term disability contract.
Approve the benefits if the person meets all these requirements.
Process these claims in a timely manner with accuracy.
Serve our clients in a caring and empathetic manner, communicating clearly with them the decisions you make.
Reach out to employees, employers, health care providers, attorneys, and anyone else as needed to get the paperwork or information you need to make a decision.
Make sure all your claim decisions match the insurance contract and follow all laws, regulations, and procedures.