Case Manager I

Sun Life

. Manage and prioritize a group of long-term disability claims on an ongoing basis while maintaining appropriate documentation .

Posted 10/9/2026full-timeUnited StatesMid-LevelSenior💰 $55,300 - $83,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing long-term disability claims, including evaluating claim credibility, applying contractual provisions, and processing claims for payment. Strong analytical and communication skills are essential for negotiating and articulating claim decisions effectively.

Highest-signal resume keywords

Long-Term Disability Claims ManagementClaim Evaluation and AnalysisContractual Provisions ApplicationCustomer Service OrientationAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingClaim DocumentationVocational Rehabilitation AssessmentInvestigative Tools UsageCourt TestimonyClaim Decision Rationale Preparation

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationCritical ThinkingNegotiation SkillsTeam Collaboration

Tools & Technologies

Claim Paying System

Industry Keywords

Long-Term DisabilityClaims ProceduresLegal GuidelinesBenefit Payment ProcessFinancial Risk Management

About the role

Key responsibilities & impact

Manage and prioritize a group of long-term disability claims on an ongoing basis while maintaining appropriate documentation
Obtain all pertinent and necessary information to evaluate claim credibility
Prepare written rationale of claim decisions based on contractual provisions and analysis of medical and occupational records
Process claims for payment using the claim paying system to ensure accurate and timely benefit payments
Assess vocational rehabilitation opportunities by working with vocational staff
Use investigative tools
Testify in court cases and provide depositions related to claim disputes based on technical expertise
Manage customer service, the benefit payment process, and financial risk associated with an assigned block of long-term disability claims
Apply contractual provisions, legal guidelines, claims procedures, and protocols to claim facts to decide acceptance or denial and benefit duration
Clearly communicate claim decision rationale with confidence and sensitivity

Requirements

What you’ll need

Excellent written and verbal communication skills with customer service orientation
Must be able to work independently and in a team environment
Ability to conduct detailed claimant interviews
Solid critical thinking skills
Ability to negotiate with people
Demonstrated expert analytical skills
Ability to think creatively and address the strengths and weaknesses of a claim and the fine distinctions in contract language

Benefits

Comp & perks

generous vacation and sick time
market-leading paid family, parental and adoption leave
medical coverage
company paid life and AD&D insurance
disability programs
partially paid sabbatical program
401(k) employer match
stock purchase options
employer-funded retirement account
flexible, inclusive and collaborative work environment that supports career growth