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Senior Manager, Claims

$72.5k - $108.8k

Stryker Orthopaedics

Job Description Sun Life embraces a hybrid work model that balances in‑office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The Opportunity The Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day‑to‑day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. What you will do Lead, manage, hire, train, retain and motivate a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners Ensure the team operation is efficient, effective and in compliance with all federal and state requirements Evaluate the team plan for continual improvement of the efficiency and effectiveness of the group and provide individuals with professional and personal growth Develop and foster excellent relationships with clients Collaborate with internal and external partners regarding the profitability of clients' blocks of business Ensure client complaints/issues are addressed promptly and in accordance with service standards Utilize operational metrics and reports to track trends and results and adjust tactics accordingly Participate in the development and communication of internal policies, procedures and systems Support technological initiatives for the enhancement and efficiency of the claims management process Support and execute claim management initiatives Conduct internal and external training sessions Conduct internal and external claim audits, participate in new client prospecting and implementation Complete continuing education requirements to maintain license Participate in industry meetings Participate in product development and product enhancement Other duties and responsibilities as assigned What you need to succeed Ability to work with a diverse group of people Technically proficient in disability products and claims, with a minimum of 5 years progressively responsible disability claims experience Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy Demonstrated leadership qualities, prior management experience a plus Proven ability to train and motivate employees Demonstrated ability and willingness to give candid and meaningful feedback Expert technical ability in interpreting and communicating disability policy/contract language Exposure to multiple and complex disability claims issues with demonstrated experience in generating, selecting and implementing solutions to resolve those issues Knowledge of Federal, State and local regulations relating to disability Excellent analytical, critical thinking, problem solving and decision‑making skills Excellent verbal communication skills, with the ability to be both pleasant and professional Ability to represent FullscopeRMS and clients effectively Strong written communication skills Solid mathematical skills Strong interpersonal and customer service skills Ability to be flexible and open‑mindset to change and new ideas Confidentiality, discretion and tact are paramount Solid negotiation skills Ability to manage conflict comfortably and effectively Small and large group presentation skills Ability to work in a self‑directed manner, and initiating and prioritizing regular work duties and projects Detail oriented, organized, the ability to multi‑task, and strong time management skills with the ability to meet deadlines and respond to unexpected requests in a prompt manner Strong computer skills, proficient in PC environment and MS Word, Excel, and email systems Ability to work professionally and effectively with co‑workers, clients, claimants, vendors and others with whom FullscopeRMS does business Salary Range: $72,500 - $108,800 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. Job Category: Claims - Life & Disability Posting End Date: 30/07/2026 #J-18808-Ljbffr Stryker

Vacancy posted 3 days ago
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