Hybrid Bilingual Quality Analyst, Disability Claims

at Sun Life

• Job title: Bilingual Quality Analyst, Disability Claims
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: CA$58,000 - CA$93,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Montreal, Canada

About the role

• Quality Analyst assessing Disability claims at Sun Life with a focus on best practices. Conducting quality reviews, providing feedback, and ensuring consistency in operational processes.

Responsibilities

• 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.