Senior Subrogation & Disability Claims Strategist

Sun Life Financial; Hartford (CT); Hybrid; USD 73,000 - 109,000; Full time

Job summary

Sun Life Financial is seeking a Senior Financial & Subrogation Liaison to work with our subrogation vendor on pursuing recoveries for STD and LTD claims. You will assess liability, evaluate losses, negotiate settlements, and oversee subrogation workflow across multiple parties.

You will train Claims staff on LTD/STD processes, interpret disability contract language, and ensure compliance with licensing and company guidelines while building strong client relationships and driving cost reductions.

Qualifications

• Minimum 3 years previous related work experience as well as specific disability product line experience required. 5 years of LTD and STD experience required.
• Excellent interpersonal skills to communicate and negotiate with other parties and conduct investigations required
• Proven interpersonal, analytical and negotiation abilities required
• Ability to provide information in a clear, concise manner, ability to build effective relationships
• Ability to exercise independent judgment, effectively make sound business decisions, and resolve unique and challenging problems
• Advanced analytical and problem-solving skills, ability to multi-task and to independently prioritize competing demands/requests within given time constraints
• Excellent conflict resolution skills
• Familiarity with Claims administration systems
• Proficiency in Microsoft Office suites (Excel, PowerPoint, Word, Outlook)

Responsibilities

• Proven ability to train Claims department including LTD and STD
• Demonstrated ability and willingness to give candid and meaningful feedback to Claims
• Expert technical ability in interpreting and communicating disability contract language
• Technical expert in interpreting policy language and utilizing the parameters to calculate complex subrogation and monthly benefit calculations
• Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy.
• Confidently negotiate claims to fairly resolve and reduce liability for Fullscope RMS and Client Carrier Partners
• Proficiently and proactively handle the claim file through various phases of subrogation. Independently review the applicability of coverage and civil law as well as local statues.
• Communicates with various parties associated with the claim. Respond to written and verbal inquiries in a timely and professional manner, ensuring compliance within all company and statutory guidelines.
• Effectively and independently negotiates settlements with insureds and third parties
• Works with and manage costs of outside vendor
• Identify subrogation opportunities and work with vendor to obtain recoveries
• Services as a subject matter expert to the claims department in all matters associated with third party and subrogation pursuit, including managing workflow, responding to third-party and subrogation vendor needs, as well as training and coaching employees.
• Supports the development of an organization focused on quality claims management
• Applies technical knowledge to support departmental development, special projects, and programs.
• Demonstrates proficient understanding of carrier/clients and accurate application of client specifics in client brand protection by the team.
• Identifies and communicates developmental areas which need improvement within the analyst’s or client’s block of business.
• Provides developmental feedback to team members on case level actions within the context of a training and coaching relationship.
• Assists in the design and delivery of training programs
• Completes special projects as necessary
• Maintains an acceptable level of technical acumen, policy and laws
• Delivers dependable, accurate, timely service and build strong relationships with clients and colleagues
• Conducts internal and external claims audits & training seminars
• Participates in the development of internal policies and procedures
• Participates in industry and client meetings as well as client presentations and training.

Skills

Excellent interpersonal skills

Negotiation abilities

Analytical skills

Independent judgment

Communication skills

Tools

Claims administration systems

Microsoft Office

Job description

Sun Life Financial is seeking a Senior Financial & Subrogation Liaison to work with our subrogation vendor on pursuing recoveries for STD and LTD claims. You will assess liability, evaluate losses, negotiate settlements, and oversee subrogation workflow across multiple parties.

You will train Claims staff on LTD/STD processes, interpret disability contract language, and ensure compliance with licensing and company guidelines while building strong client relationships and driving cost reductions.