Sun Life enhances claims connectivity
Sun Life US is making benefits easier for members by integrating claims across its disability, supplemental health, stop-loss and dental products. When a member has more than one of these products and files a single claim, all other applicable Sun Life benefits will be processed automatically, ensuring members quickly receive all the coverage they elected without having to file additional claims. This also creates an advantage for employers who buy multiple products from Sun Life US and provides members with valuable benefits when they need them most.
“Often, members do not realize they have enrolled in additional benefits that might also provide coverage for their health conditions. Now, we can do the work for them and provide complete claims coverage across these products. The more we connect our claims data across products, the better we can serve our members and ensure they receive all of their benefits quickly and seamlessly.” – Joi Tillman, president, Group Benefits, Sun Life U.S.
This enhancement builds on a prior solution allowing Sun Life members to file one claim for all applicable leaves from work, including disability, state, federal, and others. In total, Sun Life’s claims integration connects the company’s three largest business groups:
Group Benefits
- Members who file claims for short-term disability benefits will automatically receive applicable supplemental health benefits, such as those provided by hospital indemnity coverage.
- An initial supplemental health claim will also initiate any additional supplemental health payments that apply, such as critical illness or accident coverage.
Health and Risk Solutions
- A member whose employer has filed a stop-loss cancer claim will automatically receive applicable critical illness benefits, since cancer is a condition typically covered in most critical illness plans.
Dental
- Dental members also enrolled in supplemental health coverage will automatically receive a wellness benefit when they engage in preventive oral care.
“Data integration is the future of benefits, and we believe that when done securely and safely, it can vastly improve the benefits experience for workers everywhere. Automatic benefit payments are important mechanisms that save our members time and effort, allowing them to focus on taking care of themselves.” – Bryan Burke, assistant vice president, Product Management and Development, Sun Life US.
The Integration of medical stop-loss and critical illness claims and the connection to dental claims are the latest examples of integration across Sun Life’s products, adding to prior enhancements such as offering Health Navigator to Group clients.
