Benefit Analyst I Position Available In Cumberland, Maine

Benefit Analyst I at Sun Life Financial (U.S.) Services Company, Inc. in Portland, Maine, United States Job Description Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

Job Description:

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work The opportunity
As a Benefit Analyst, Life Waiver of Premium, you will have the opportunity to make a difference in the lives of individuals who have experienced a disability by successfully managing a caseload of life waiver claims. Leverage your analytical and communication skills to work independently while also thriving in a team setting. This role is key to Sun Life’s journey of building the best company in America. This role requires applying the appropriate policy provisions and department procedures to the medical and occupational facets of each claim to determine if the claim can be approved. This is accomplished by using an inter-disciplinary approach to make accurate claim decisions. Communication skills are needed to explain the decisions and to facilitate optimal outcomes. How you will contribute
The Benefit Analyst, Life Waiver of Premium is accountable for developing, coordinating, and implementing a plan of action for each claim to ensure it is managed effectively for the duration of the disability. Conduct initial claim eligibility review Obtain all pertinent and necessary information to evaluate claims Confirm that medical evidence supports claimant’s restrictions & limitations Prepare written rationale of claim decision based on a review of the contractual provisions and the analysis of the medical and occupational records Process claims for payment Develop and document claim strategy for ongoing claim management Prioritize caseload and work; maintain appropriate documentation Assess occupational job duties and rehabilitation opportunities by working with vocational staff Appropriately use investigative tools; may testify in court cases, respond to State Insurance Department complaints/requests, and provide depositions related to claim disputes based upon technical expertise What you will bring with you: Ability to work with a diverse group of people Bachelor’s degree is preferred Claims experience with knowledge of disability/life claim management practices is a plus Strong computer and technical skills Exceptional customer service skills Strong mathematical skills for calculation of claim payments Excellent organizational skills and an effective ability to multi-task Solid judgment and discretion with exposure to confidential information Analytical and problem-solving skills Ability to work autonomously and in a team environment Excellent written and verbal communication skills Strong interpersonal skills Demonstrated ability to meet deadlines with a high level of accuracy and attention to detail

Salary:

$54,900 – $82,400
At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their… For full info follow application link. Sun Life Financial is an equal employment and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by law. Sun Life Financial is committed to building a diverse and inclusive company culture. Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter – for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.