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Claim Analyst

Sun Life

RemoteFull timeMid levelPosted today
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About the role

Vous êtes aussi unique que votre parcours, votre expérience et votre point de vue. Ici, vous serez encouragé, habilité et défié à être à votre meilleur. Vous travaillerez avec des collègues dynamiques – des experts dans leurs domaines – qui sont désireux de partager leurs connaissances avec vous. Vos leaders vous inspireront et vous aideront à atteindre votre potentiel et à vous envoler vers de nouveaux horizons. Chaque jour, vous aurez de nouvelles et passionnantes occasions de rendre la vie plus brillante pour nos Clients – qui sont au cœur de tout ce que nous faisons.

Chez Sun Life, nous sommes guidés par notre Raison d'être : aider nos Clients à réaliser la sécurité financière à vie et à vivre une vie plus saine. Nos valeurs façonnent notre façon de travailler : bienveillance, authenticité, audace, inspiration et impact.

Quand vous vous joignez à Sun Life, vous travaillez avec des collègues passionnés et des leaders habilitants qui soutiennent votre croissance et célèbrent vos contributions, afin que vous puissiez faire une différence significative dans la vie de nos Clients.

Découvrez comment vous pouvez faire une différence dans la vie des personnes, des familles et des communautés du monde entier.

De scription de poste :

Appraises and approves claims within prescribed approval limits, performs initial review of claims beyond authorized approval limits and submits recommended course of action to Claims Manager.

Specific Accountabilities:

  • Appraises and approves death and living benefit claims, both individual and group insurance, within approval limits. Secures Underwriting, Legal and/or Medical input where necessary.
  • Appraises claims beyond authorized approval limits, prepares written analysis and recommended course of action and submits to Claims Manager for review and approval.
  • Reviews and approves request within disbursement approval limits and initially reviews and submits to Claims Manager for approval those beyond disbursement approval limits.
  • Attends to claim inquiries ranging from basic to complex in nature.
  • Represents Sun Life in mediation required by the Insurance Commission and Court hearing, as required, involving cases appraised within approval limits.
  • Conducts learning sessions for Claims Services Section, as required.

Skills and Knowledge Required:

  • Graduate of any four-year course. A medical/allied medical science or legal background would be an advantage.
  • Computer literate.
  • Very good analytical, judgment, comprehension and conceptual thinking skills
  • Detailed-oriented, organized, systematic.
  • Patient and interested to read and familiarize self with provisions of the law, medical materials and review and scrutinize various documents.
  • Can work independently and is decisive.
  • Can work ably under pressure and can multi-task.
  • With strong client service orientation and good sense of urgency.
  • Possesses effective interpersonal relationship skills and is a team player.
  • With above average written and verbal English communication skills.
  • Willing to study and pursue required LOMA and ICA courses under Claims Career Development Program.
  • With good attendance and punctuality record.

Catégorie d'emploi :

Règlements - Vie et invalidité

Fin de l'affichage :

30/12/2026

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