Claims Manager

Senior Manager, Claims Services Sun Life embraces a hybrid work model that balances in‑office collaboration with the flexibility of virtual work in the contiguous states plus Alaska. The Opportunity We are seeking a Senior Manager, Claims Services to lead a high‑performing team supporting Stop Loss & Health Claims Services. This role is responsible for monitoring individual and team performance, maintaining metric data and trend reporting, and identifying training opportunities that strengthen accuracy, efficiency, and service delivery. Responsibilities Lead, coach, and develop a high‑performing Claims Services team in a production‑oriented environment, ensuring individual and team performance aligns to established goals, service expectations, and quality metrics. Monitor team metric data, inventory levels, production trends, and accuracy measures to identify performance patterns, training needs, and opportunities for process improvement. Oversee execution of data intake, data management, claims processing, reporting, and related operational functions supporting Stop Loss & Health Claims Services. Apply working knowledge of stop loss insurance, medical and pharmacy claims data, detailed expense lines, merged reporting, and claims data processes to support accurate and efficient service delivery. Maintain and enhance spreadsheets, tracking tools, and reporting resources used for data collection, storage, analysis, performance monitoring, and operational decision‑making. Document, communicate, and reinforce policies, procedures, and process changes to ensure team members remain aligned with current practices and expectations. Partner with employees across the organization to address data intake needs, resolve source or template issues, and improve workflows that support internal and external client needs. Foster a Brighter Way mindset by encouraging continuous improvement, empowering team members to develop solutions, and supporting ideas through appropriate review and approval channels. Develop onboarding, training, presentations, and recorded learning resources in partnership with Team Leads to build capability for new and existing employees. Meet regularly with the Associate Director, Claims Services to communicate team performance, improvements, concerns, resource needs, and opportunities to further strengthen the function. Qualifications Prior people‑management experience required, ideally within a high‑volume claims, data operations, insurance, or healthcare environment. Bachelor's degree with 57 years of relevant industry experience preferred. Working knowledge of claims data, claims processes, and data intake workflows. Strong ability to manage individual and team performance, allocate resources effectively, and support quality outcomes in a fast‑paced production environment. Advanced Microsoft Excel skills, with the ability to maintain tracking tools, analyze data, identify trends, and translate insights into action. Proficiency with Microsoft Word and PowerPoint, including the ability to create clear documentation, presentations, and training materials. Highly organized, results‑oriented, and resourceful, with strong analytical, problem‑solving, and execution skills. Excellent written and verbal communication skills, with the confidence to present information clearly and reinforce expectations across audiences. Ability to build partnerships, influence across levels, and collaborate effectively with internal and external stakeholders. Demonstrated ability to recommend, document, and drive process efficiencies and continuous improvement opportunities. Salary $68,200-$102,300 Benefits We offer comprehensive benefits, including generous vacation and sick time, market‑leading paid family, parental and adoption leave, medical coverage, company‑paid life and AD&D insurance, disability programs, and a partially paid sabbatical program. We support career growth with a flexible, inclusive work environment and provide a 401(k) employer match, stock purchase options, and an employer‑funded retirement account. Equal Opportunity & Accommodations We will make reasonable accommodations to the known physical or mental limitations 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 View email address on click.appcast.io to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. 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. #J-18808-Ljbffr