Sun Life

Bilingual Quality Analyst, Disability Claims

Sun Life

full-time

Posted on:

Location Type: Hybrid

Location: Montreal • 🇨🇦 Canada

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Salary

💰 CA$58,000 - CA$93,000 per year

Job Level

Mid-LevelSenior

About the role

  • Conduct quality reviews focusing on case management principles as well as overall case management excellence of assigned disability claims files;
  • Record quality assurance results using audit tools
  • Review new claim decisions and/or change of definition decisions to assure the quality of the decision as defined by our contract, philosophy and practices
  • Meet service levels for quality, quantity and timeliness (individual and team)
  • Provide feedback on evaluation along with suggestions of improvement
  • Remain current on Group Life and Disability practices and processes
  • Provide input on trends to support actionable recommendations for quality improvement
  • Participate in calibration sessions to ensure consistency in the application of the measures and to ensure program objectives are met
  • Provide subject matter expertise input into Disability process related inquiries
  • Provide feedback on the assessment with strong supporting rationale, when there is a disagreement between Quality and Operation

Requirements

  • Must have Long Term Disability Claims Management experience 3-5 years
  • Must have minimum of 3 years of experience as a Disability Case Manager
  • Experience in auditing, sampling and reconciliation
  • Knowledge of Organizational Effectiveness, Group Benefits and understanding of GB strategy
  • Knowledge of other Group Benefits areas
  • In-depth level of knowledge of disability claims (STD, LTD, and Health Management) processes, controls and systems (3-5 years of long term disability claims experience)
  • PC knowledge (Windows XP, Excel, Word)
  • Bilingualism (French, English, both oral and written) is required for the frequent interactions with English and French-speaking colleagues or internal partners across Canada and worldwide.
Benefits
  • Access to short-term assignments or ‘Gigs’ across the organization, to help you develop new skills and connections.
  • A collaborative and interactive team environment
  • Charitable giving through our You Give, We Give program lets you give back to your community – and in many cases, we’ll match your contributions.
  • Care Days available for self-care or care of others (i.e., family or others you may support) and Sick Days to support your well-being.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
Long Term Disability Claims ManagementDisability Case ManagementAuditingSamplingReconciliationDisability Claims ProcessesHealth ManagementQuality AssuranceCase Management PrinciplesOrganizational Effectiveness
Soft skills
FeedbackCommunicationCollaborationSubject Matter ExpertiseAnalytical ThinkingProblem SolvingAttention to DetailConsistencyTimelinessImprovement Suggestions
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