Director, Stop Loss Claims Strategy and Innovation

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 6,400 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.  

Job Description:

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Internal candidates are not required to relocate near an office.

The opportunity: As the Director, Stop Loss Claims Strategy and Innovation, you will lead an organization focused on enhancing our Stop Loss Claims capabilities and improving the support we provide to our distribution partners. You will have the opportunity to lead a dedicated team that will support the Stop Loss Claims organization with strategic initiatives, process improvements, client support, claims accuracy and technology implementations. This role is key in Sun Life's journey in helping clients achieve lifetime financial security and live healthier lives.

How you will contribute:

• In partnership with the AVP, Stop Loss Claims; establish the Stop Loss Claims organization’s strategic direction and execute on our strategy with the client at the center of everything we do
• Regularly interact with senior leadership, business stakeholders, and clients to influence business solutions and strategy
• Identify best practices and lead organizational change initiatives
• Promote superior customer service to our internal and external partners while seeking opportunities to increase client satisfaction
• Support new claim system development and implementation for Stop Loss
• Create and foster a team environment that encourages innovation and continuous improvement
• Lead complex and strategic initiatives, managing projects in both traditional and agile approaches
• Translate strategies into actionable project plans and oversee their execution
• Stabilize business processes and produce streamlined documentation, including end-to-end flows cross-functionally
• Create an efficient training and development program to ensure we are setting our staff up for success
• Proactively identify opportunities for enhancements to processes, procedures, and reporting systems to improve the client experience
• Effectively manage a Data Analysis & Innovation team to provide quality reports and promote analysis to drive further improvements within our Stop Loss team

What you will bring with you:

• Ability to work with a diverse range of people
• Exceptional leadership skills with 5-7 years of experience leading expanded teams within medical stop loss, health insurance, workers compensation or related industry
• 5+ years of Stop Loss product exposure and claim administration experience
• Bachelor's degree preferred
• Stop Loss Claims expert with demonstrated experience managing multiple teams and functions
• Proven success leading organizational change and strategic initiatives
• Superior ability to interface and build relationships with clients and internal stakeholders
• Well-developed communication skills, including an ability to articulate our strategic direction and key points of differentiation externally
• Foster strong relationships based on trust, open and honest dialogue
• Strong business acumen
• Thorough working knowledge of Sun Life Stop Loss Claims philosophy and market trends
• Experience with project management and change management methodologies
• Superior collaboration skills
• Demonstrates resilience by reacting positively to changes and maintains poise, focus and flexibility when encountering difficulties or obstacles
• Demonstrated ability to develop and present material to senior leaders that translates complex scenarios into simple observations, recommendations, and decision-making opportunities
• Proficiency with Excel, PowerPoint, Microsoft Word, Visio and/or Project Office

Salary:  

$130,600-$195,900

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,