Senior Leader, Stop-Loss Health Claims

Sun Life; Hartford (CT); Hybrid; USD 68,000 - 102,000; Full time

Benefits offered by this job

401(k) match

Stock purchase plan

Sabbatical program

Medical coverage

Job summary

Sun Life U.S. invites applicants for the Senior Manager, Stop Loss and Health Claims role. The incumbent will oversee complex claims, lead a high-performing team, and partner with TPAs, brokers, and legal counsel to support growth and exceptional service.

The position features a hybrid model across contigous states plus AK, with a strong focus on staff development, process optimization, and stakeholder management in a dynamic benefits environment.

Qualifications

• 5+ years of medical stop loss or health insurance claims experience.
• Previous management/leadership experience preferred.
• Strong analytical and problem-solving abilities.
• Excellent communication and negotiation skills.
• Experience with claims management systems and Sun Life products.

Responsibilities

• Lead Claims Operations: direct evaluation, negotiation, and settlement of complex claims.
• Manage and develop staff: supervise and mentor a claims team.
• Optimize processes: monitor workflow and drive efficiencies.
• Collaborate with partners: work with TPAs, brokers, policyholders and vendors.

Skills

Leadership

Claims operations

Analytical thinking

Negotiation

Stakeholder management

Communication

Problem solving

Job description

Sun Life U.S. invites applicants for the Senior Manager, Stop Loss and Health Claims role. The incumbent will oversee complex claims, lead a high-performing team, and partner with TPAs, brokers, and legal counsel to support growth and exceptional service.

The position features a hybrid model across contigous states plus AK, with a strong focus on staff development, process optimization, and stakeholder management in a dynamic benefits environment.