Claims Specialist

12 hours ago


Kansas City, Missouri, United States Sun Life Full time
Job Summary

We are seeking a highly skilled Claims Specialist to join our team at Sun Life. As a Claims Specialist, you will be responsible for managing initial liability claims submitted for Critical Illness, Cancer, Hospital Indemnity, and Accidental claims.

Key Responsibilities
  • Conduct thorough reviews and investigations of claims to determine initial and future liability
  • Collaborate with employers, claimants, and client carrier partners to gather pertinent data
  • Adjudicate claims and benefits accurately and fairly, in accordance with contract, policies, and regulations
  • Develop and maintain online claims data
  • Mentor and train new hires as requested
Requirements
  • Minimum 1-year previous work experience in financial, medical, and/or customer service field
  • High School Diploma required; college degree preferred
  • Experience in Supplemental Health, Case Administrator role preferred
  • Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy
What We Offer
  • Competitive salary and incentive awards
  • Broad range of benefits, including medical plans, company-paid life and AD&D insurance, and disability programs
  • Flexible work environment with a friendly, caring, collaborative, and inclusive culture
  • Opportunities for professional growth and development

Sun Life is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. We strive to create a flexible work environment where our employees are empowered to do their best work.



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