Director, Claims Risk Management

You are as unique as your background experience and point of view. Here youll be encouraged empowered and challenged to be your best self. Youll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day youll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do.

At Sun Life were driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring authentic bold inspiring and impactful.

When you join Sun Life youll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions so you can make a meaningful difference in our Clients lives.

Discover how you can make a difference in the lives of individuals families and communities around the world.

Job Description:

As Director Claims Risk Management you will help shape enterprise claims risk oversight across Sun Lifes global operations. Working closely with senior Claims leaders Risk Management and business stakeholders you will promote sound claims adjudication identify emerging risks and support improvements that keep claims practices aligned with Sun Lifes risk appetite.

This is an opportunity to influence enterprise claims standards guide the evolution of claims risk management and use data analytics to generate meaningful insights.

You will be part of a collaborative global team that works across business units products and markets providing independent oversight and trusted support to global claims operations.

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What youll be doing

• Provide independent oversight of claims risk management practices across Sun Lifes global business units helping ensure alignment with Enterprise Insurance Risk Policy Claims Operating Guideline and other relevant governance standards.
• Lead risk validation testing and other monitoring programs to assess the effectiveness of claims controls identify emerging risks and support continuous improvement in claims adjudication and risk management practices.
• Leverage claims data analytics and key risk indicators to identify trends evaluate risk exposures and provide actionable insights that support informed decision-making and strengthen risk oversight.
• Partner with Claims Underwriting Medical Risk Compliance Legal Actuarial and other global stakeholders to provide guidance and effective challenge on complex claims emerging risks strategic initiatives and new technologies impacting claims operations.
• Conduct research and maintain awareness of emerging industry trends regulatory developments and leading claims practices and represent Sun Life in industry associations forums and working groups as appropriate.

What youll need to succeed

• 10 years of progressive experience in Life Health or Disability claims adjudication claims risk management or a related field.
• Deep understanding of claims adjudication practices risk management principles governance frameworks and internal control environments.
• Experience reviewing complex high-value or high-risk claims and applying sound risk judgment while supporting client-focused outcomes.
• Track record of influencing and building strong partnerships across diverse stakeholder groups including Claims Underwriting Medical Risk Legal Compliance and senior business leaders.
• Skilled at providing independent constructive challenge to first line recommendations to ensure decisions are well-supported risk-informed and aligned with governance expectations.
• Comfortable using data reporting metrics and trends to identify emerging risks support decision-making and contribute to continuous improvement.
• Clear communicator with strong presentation and relationship management skills able to turn complex issues into practical recommendations.
• Proven experience leading initiatives managing competing priorities and delivering results in a global collaborative environment.
• Curious thoughtful and improvement-oriented with a strong interest in advancing claims excellence and risk management practices.
• Bilingual (French) is an asset.
• Professional designations such as FLMI FLHC CRM or other relevant insurance or risk management credentials are considered an asset.
• As this position is posted in several locations we specify that bilingualism (French English both oral and written) is required for Quebec only as the position includes managing both French and English-speaking staff (Quebec and outside Quebec) and providing daily support to the team.

Whats in it for you:

• Being a member of the Sun Life family a group of people united by our Purpose: to help Clients and Employees achieve lifetime financial security and live healthier lives.
• In 2024 Sun Life ranked among the top 100 most sustainable global corporations by Corporate Knights for the 15th consecutive year leading Canadian insurers.
• We are proud to be on the 2024 Best Workplaces in Canada list by Great Place to Work.
• Were also listed as one of the Best Workplaces for Women and Best Workplaces with Most Trusted Executive Teams.
• Our unique Sabbatical Program gives you the opportunity to take up to 6 weeks off every five years.
• 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.

The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other addition to Base Pay eligible Sun Life employees participate in various incentive plans payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.

Diversity and inclusion have always been at the core of our values at Sun Life. A diverse workforce with wide perspectives and creative ideas benefits our Clients the communities where we operate and all of us as colleagues. We welcome applications from qualified individuals from all backgrounds.

Persons with disabilities who need accommodation in the application process or those needing job postings in an alternative format may e-mail a request to .

We are proud to be a hybrid organization that offers our employees the choice and flexibility to work from both the office and virtually based on the needs of the business our Clients and you.

We may use artificial intelligence to support candidate sourcing screening interview scheduling.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

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