Senior Manager, Claims

Sun Life U.S. is one of the largest providers of employee and government benefits helping approximately 50 million Americans access the care and coverage they need. Through employers industry partners and government programs Sun Life U.S. offers a portfolio of benefits and services including dental vision disability absence management life supplemental health medical stop-loss insurance and healthcare navigation. We have more than 6400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers partners and communities.

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.

The Opportunity

The Senior Manager Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team as well as fostering client relations and ensuring the accurate risk management of disability claims.

What you will do:

Leads manages hires trains retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients claimants and internal DRMS partners

Ensures the team operation is efficient effective and in compliance with all federal and state requirements

Evaluates the team plan for continual improvement of the efficiency and effectiveness of the group and provides individuals with professional and personal growth- Develops and fosters excellent relationships with clients

Collaborate with internal and external partners regarding the profitability of clients blocks of business

Ensures client complaints/issues are addressed promptly and in accordance with service standards

Utilizes operational metrics and reports to track trends and results and adjusts tactics accordingly

Participates in the development and communication of internal policies procedures and systems

Supports technological initiatives for the enhancement and efficiency of the claims management process

Supports and executes claim management initiatives

Conducts internal and external training sessions

Conducts internal and external claim audits- Participates in new client prospecting and implementation

Completes continuing education requirements to maintain license

Participates in industry meetings

Participates in product development and product enhancement- Other duties and responsibilities as assigned

What you need to succeed:

Ability to work with a diverse group of people

Technically proficient in disability products and claims with a minimum of 5 years progressively responsible disability claims experience

Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy

Demonstrated leadership qualities prior management experience a plus

Proven ability to train and motivate employees

Demonstrated ability and willingness to give candid and meaningful feedback

Expert technical ability in interpreting and communicating disability policy/contract language

Exposure to multiple and complex disability claims issues with demonstrated experience in generating selecting and implementing solutions to resolve those issues

Knowledge of Federal State and local regulations relating to disability

Excellent analytical critical thinking problem solving and decision-making skills

Excellent verbal communication skills with the ability to be both pleasant and professional

Ability to represent FullscopeRMS and clients effectively

Strong written communication skills

Solid mathematical skills

Strong interpersonal and customer service skills

Ability to be flexible and open minded to change and new ideas

Confidentiality discretion and tact are paramount

Solid negotiation skills

Ability to manage conflict comfortably and effectively

Small and large group presentation skills

Ability to work in a self-directed manner and initiating and prioritizing regular work duties and projects

Detail oriented organized the ability to multi-task and strong time management skills with the ability to meet deadlines and respond to unexpected requests in a prompt manner

Strong computer skills proficient in PC environment and MS Word Excel and email systems

Ability to work professionally and effectively with co-workers clients claimants vendors and others with whom FullscopeRMS does business

Salary Range: $72500 - $108800
At our company we are committed to pay transparency and equity. The salary range for this role is competitive nationwide and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills qualifications experience education and geographic addition to your base salary this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

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We are committed to fostering an inclusive environment where all employees feel they belong are supported and empowered to thrive. We are dedicated to building teams with varied experiences backgrounds perspectives and ideas that benefit our colleagues clients and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life we prioritize your well-being with comprehensive benefits including generous vacation and sick time market-leading paid family parental and adoption leave medical coverage company paid life and AD&D insurance disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match stock purchase options and an employer-funded retirement account. Enjoy a flexible inclusive and collaborative work environment that supports career growth. Were proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S. weve also been recognized as a Top 10 employer by the Boston Globes Top Places to Work for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans unless the accommodation would impose an undue hardship on the operation of our business. Please email to request an accommodation.

For applicants residing in California please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of applicable state and local laws including applicable fair chance ordinances.

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.