Telephonic Intake Representative

3 weeks ago

Wellesley Hills, United States Sun Life Full time

FullscopeRMS helps health plans and insurance carriers grow their businesses with our turn-key solutions for group life & disability, absence management, supplement health and medical stop-loss products.

We are a subsidiary of Sun Life, a leading provider of group insurance benefits in the U.S.. FullscopeRMS also provides group life and disability plans to our clients through the third-party administrator Disability Reinsurance Management Services, Inc., often referred to as DRMS.
- Job Description

**Location**: We support US flexible working arrangements in the contiguous 48 states.

At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.

**The opportunity**:
Under direct supervision, the Telephonic Intake Representative is responsible for handling inbound calls from employees, employers and leave management vendor reporting a disability claim.

**How you will contribute**:

- Promptly takes inbound calls from employees, employers and Leave Management vendor including new claim Intake scripts reporting a disability and or absence claim in a professional manner, adhering to service standards
- Accurately identifies employee eligibility information, obtains required information, and posts new claims in the administrative system
- Follows up with claimants, employers, and physicians to obtain missing claim information
- Answers questions related to claim process/workflow, explains basic contractual questions, and responds to various claim inquiries
- Works collaboratively with other staff members to facilitate the accurate posting of claims
- Develops and maintains online claim data, including letters
- Ensures complete and accurate claim file documentation
- Assists in maintaining business process documentation, as new procedures are developed, and best practices are identified
- Assist with administrative requests
- Assist with department projects as needed

**What you will bring with you**:

- Minimum 1 year work experience required, 1 year customer service experience preferred
- High school diploma or equivalent required
- Excellent communication skills, both written and verbal, with a pleasant and professional communication style
- Strong interpersonal skills and customer service focus
- Ability to initiate and prioritize regular work duties and small projects,
- Ability to multitask, be detail oriented, organized, and exercise good time management skills
- Must possess basic contract knowledge and have the ability to interpret and communicate various provisions
- Ability to work independently and as part of a team
- Ability to use office equipment including fax machine, photocopier, and printer
- Ability to work professionally and effectively with co-workers, clients, claimants, vendors, and others with whom DRMS does business

Minimum PC Speed Requirements

Download**:30 Mbps or higher**

Upload**:15 Mbps or higher**

Latency/Ping**:The lower the better but at ideally below 50ms**

**Life is brighter when you work at Sun Life**
- Excellent benefits and wellness programs to support the three pillars of your well-being - mental, physical, and financial - including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
- Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
- A flexible work environment with a friendly, caring, collaborative and inclusive culture
- Great Place to Work® Certified in Canada and the U.S.
- Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
- If you are a California resident, the salary range for this position is:_
- _ Southern region: _**_$41,700 - 56,300_**_ annually_
- _ Central region: _**_$43,900 - 59,300 _**_annually_
- _ Northern region: _**_$47,000 - 63,500_**_ annually_
- If you are a Colorado resident, the salary range for this position is _**_$39,700 - 53,600_**_ annually._
- If you are a New York resident, the salary range for this position is _**_$47,000 - 63,500_**_ annually._
- If you are Washington resident, the salary range for this position is _**_$43,900 - 59,300 _**_annually._
- The full range minimum and maximum listed in the job posting is tied to the GCF leve

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