Associate Director, Claims-Stop Loss

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll 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, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:

At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America. 

The opportunity: We are seeking an Associate Director of Claims, Stop Loss to lead our multi-site claims organization, focusing on improving efficiencies, enhancing client experience, and streamlining claims adjudication processes for our Stop Loss product line. This role requires a strategic thinker with extensive knowledge of Stop Loss claims, strong leadership skills, and project management expertise. Additionally, this position is responsible for maximum level of Client service which has a direct impact on meeting persistency targets. This role offers an opportunity to drive significant improvements in our claims operations while ensuring top-tier client service in the Stop Loss insurance sector.

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 two or more days a week on average. Candidates must be within commuting distance of one of these office locations.

Wellesley, MA | Hartford, CT | Portland, ME | Baltimore, MD | Kansas City, MO | Milwaukee, WI | Nashville, TN

How you will contribute:

• Oversee and optimize claims operations across multiple sites
• Monitor and manage inventory to meet defined metrics and OKR’s
• Collaborate effectively across multiple departments to achieve goals, including driving for automation where available
• Identify opportunities and implement solutions for improved CX based on feedback and needs expressed by clients and brokers
• Identify and implement process improvements to enhance efficiency and reduce staffing
• Manage claims staff, including selection, training, and performance oversight
• Ensure compliance with internal audit requirements and regulatory standards
• Resolve escalated customer issues and maintain high levels of client service
• Lead projects to improve claims processing and customer experience
• Analyze claims trends and provide insights for product development and reporting
• Develop and implement strategies to meet quality and turnaround time goals

What you will bring with you:

• Ability to work with a diverse range of people
• Bachelor's degree or equivalent experience
• 7+ years of Stop Loss claims and product knowledge
• 6-10 years of relevant experience, including previous management experience
• Extensive understanding of Stop Loss products, claims systems, and service impacts
• Strong leadership, coaching, and team-building skills
• Excellent communication and interpersonal abilities
• Proficiency in MS Office and claims-related software
• Experience in project management and process improvement methodologies
• Ability to interpret and communicate policy language effectively

Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.

Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!

Life is brighter when you work at Sun Life

• Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
• Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
• A flexible work environment with a friendly, caring, collaborative and inclusive culture
• Great Place to Work® Certified in Canada and the U.S.
• Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running

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.

Salary Range: $99,000-$148,500

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 location. In 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.

Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

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Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation 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 thebrightside@sunlife.com to request an accommodation.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

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

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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.