Audit Consultant, Financial Operations
Job Location:
Wellesley, MA - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
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.
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.
Job Description:
Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our leaders are expected to foster connection and teamwork by being present in the office 2 to 3 days per week.
The Opportunity
The Audit Consultant plays a critical role in ensuring premium accuracy financial integrity and client accountability across Sun Lifes Group Benefits business. This role conducts premium audits analyzes census and billing dataidentifiespremium discrepancies calculates financial impacts and partners directly with clients and internal business partners to resolve premium variances.
With a focus onboth self-administered and list-billed this role supportsEmployer BenefitsStopLossSupplementalHealth andNationalAccount clients as assigned.
Whatyou willdo:
Analyze census billing eligibility contract and premium remittance data tovalidatethat premium paid aligns to policy provisions and rating methodologies.
Use contract and premium calculation knowledge to explain audit outcomes resolve questions and help clients brokers and TPAs improve the accuracy of future premium remittance.
Investigate premium discrepancies calculation issuesmonthly variance or flux items and document findings clearly for internal review and client communication.
Recreate premium calculations andvalidatepremium statement creation for Self-Bill API clientstoidentifyclient misunderstandingsor plan design set up disconnects.
Review and support approval processes forhigh dollarrefundsandrevenue adjustments.
Collaborate with Premium Administration Billing Underwriting Client Services Finance offshore partners Technology Reporting IT and other cross-functional teams to research issues coordinate membership updates refine analytical reporting and strengthen controls.
Use Excel reporting tools and large data sets to analyze premium activitymonitorinventoryidentifyrecurring root causes summarize outcomes and support audit readiness.
Drive continuous improvement byidentifyingreporting gaps automation opportunities process defects and client education needs that improve accuracy efficiency and client experience.
Support company initiatives special projects and evolving audit priorities as assigned.
Whatyou willbring with you:
Bachelors degree in Accounting Finance Business Economics Mathematics or related field preferred; equivalent insurance or premium administration experience may be considered.
1 to 3 years of experience in accounting audit financial analysis billing premium administration or insurance operations preferred.
Knowledge of Group Benefits Stop Loss Supplemental Health or related insurance products preferred.
Client-centered mindset with proven ability to collaborate effectively with peers clients brokers and cross-functional partnersthrough emailphoneor chat.
Strong analytical and financial investigation skills including ability to combine information from policy census payroll eligibility billing and payment sources.
Advanced Excelproficiency including pivot tables lookups formulas data validation and comfort working with large data sets; Power Query or similar data transformation experience preferred.
Strong attention to detailorganizationand ability to document conclusions clearly.
Strong written and verbal communication skills includingabilityto explain complex financial findings in plain language.
Ability to work independently manage competing priorities and follow through on complex investigations within expected timelines.
Demonstrated commitment to continuous improvement problem solving learning and positive team collaboration.
Salary: $53000 - 80700
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 qualification 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.
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