Stop-Loss Claims Process Architect

Sun Life Financial; Wellesley (MA); Hybrid; USD 60,000 - 91,000; Full time

Job summary

Sun Life U.S. seeks a Process Consultant, Stop Loss Claims to govern end-to-end processes and drive standardized, auditable operating models across Claims, Compliance, QA, Audit, IT and Learning.

The role requires 3+ years in Stop-Loss Claims, strong documentation, and cross-functional influence to reduce risk and improve outcomes. Competitive salary and comprehensive benefits accompany this position.

Qualifications

• 3+ years in Stop-Loss Claims or complex claims operations.
• Experience with process documentation and governance.
• Familiarity with audits, risk, and regulatory considerations.

Responsibilities

• Govern end-to-end Stop-Loss Claims processes and SOPs.
• Lead cross-functional evaluations to improve quality and efficiency.
• Define business requirements for system changes.
• Partner with audit, compliance, risk, and QA teams.

Skills

Stop-Loss claims experience

Process governance

Documentation strategy

Audits & regulatory

Change leadership

Cross-functional collaboration

Executive communication

Education

Lean Six Sigma training

Tools

Visio

Miro

Job description

Sun Life U.S. seeks a Process Consultant, Stop Loss Claims to govern end-to-end processes and drive standardized, auditable operating models across Claims, Compliance, QA, Audit, IT and Learning.

The role requires 3+ years in Stop-Loss Claims, strong documentation, and cross-functional influence to reduce risk and improve outcomes. Competitive salary and comprehensive benefits accompany this position.