Associate Director, Supplemental Health Claims Operations
$95.7k - $143.6kSun Life
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description The Opportunity This is an exciting opportunity to lead a high-performing Supplemental Health Claims team within an organization known for its strong culture, commitment to clients, and focus on helping people in moments that matter. The Associate Director, Supplemental Health Claims, will provide strategic leadership and operational oversight for claims and service functions, helping shape a best-in-class experience for claimants, clients, and partners. This leader will drive service excellence, modernize end-to‑end claims operations, strengthen regulatory and operational controls, and develop talented teams that are accountable, collaborative, and focused on continuous improvement. What you will do Why This Role Matters Play a highly visible leadership role in a growing and important part of the business. Lead meaningful transformation across claims operations, service delivery, digital enablement, and process improvement. Work with a collaborative, high‑performing team that values accountability, development, and a strong service mindset. Partner with leaders across Product, Technology, Legal, Compliance, Finance, Customer Experience, and Operations to deliver better outcomes for clients and claimants. Key Responsibilities Strategic Leadership & Execution Execute a forward-looking claims strategy aligned with enterprise objectives, client needs, and market expectations. Lead modernization initiatives that improve speed, quality, consistency, and the overall claimant and client experience. Establish clear operational performance standards, KPIs, quality benchmarks, and operating rhythms to drive accountability and continuous improvement. Use data, insights, and operational expertise to identify opportunities, prioritize process improvements, and deliver measurable outcomes. Operational Excellence Oversee day‑to‑day claims operations across multiple product lines, ensuring work is handled accurately, efficiently, and with strong service discipline. Ensure seamless handling of complex, high‑visibility, or escalated claims and service matters. Drive continuous process improvement using data insights, Agile and Lean practices, automation, and workflow optimization. Monitor operational capacity, resource allocation, service levels, productivity, quality, and risk indicators. People Leadership & Team Development Lead, coach, and develop claims managers and team members, creating an environment where people can do their best work and grow their careers. Foster a culture of accountability, inclusion, collaboration, service excellence, and continuous learning. Support workforce planning, training, talent development, engagement, and retention strategies. Build team morale and strengthen employee experience through clear expectations, meaningful feedback, and visible leadership. Compliance, Risk & Controls Ensure adherence to federal and state regulations, internal policies, contractual obligations, and industry standards. Partner with Legal, Compliance, Audit, Privacy, and operational risk teams to proactively identify, assess, and mitigate risks. Maintain strong controls, documentation, and governance practices that protect data integrity, privacy, and operational resilience. Promote a risk‑aware culture while enabling efficient, client‑centered execution. Qualifications Collaborate with Product, Underwriting, Technology, Finance, Customer Experience, and Operations teams to support business goals and strengthen service delivery. Serve as a trusted claims subject matter expert in client meetings, escalations, audits, and strategic initiatives. Represent the claims organization in cross-functional steering committees, enterprise projects, and transformation efforts. Build strong relationships with internal and external partners to support client retention, operational readiness, and improved outcomes. Education & Experience Bachelor's degree required; advanced degree or industry designation such as CPCU, AIC, or a related credential preferred. 5+ years of progressive claims leadership experience, ideally within insurance, health benefits, supplemental health, or a related service environment. Demonstrated success leading teams, managing complex operations, and delivering measurable improvements in quality, service, productivity, and customer experience. Experience leading change, modernization, or transformation initiatives in a regulated environment. Skills & Competencies Strategic thinker with strong analytical, operational, and business acumen. Proven ability to inspire teams, build trust, communicate clearly, and lead through change. Strong relationship‑building skills with the ability to influence across functions and levels. Comfort using workflow systems, digital workflows, dashboards, and data to improve decisions and outcomes. Sound judgment, attention to detail, and the ability to balance service, quality, compliance, and operational efficiency. What We Offer A chance to join a collaborative, high‑performing team with meaningful visibility and impact. An organization with a strong company culture, clear purpose, and commitment to helping clients and claimants when they need support most. Opportunities to lead transformation, influence strategy, and shape the future of Supplemental Health claims operations. A leadership environment that values accountability, continuous improvement, employee development, and strong partnerships. At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. National Average Salary Range: $95,700 - $143,600 Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with 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. Plan for your future with our 401(k) employer match, stock purchase options and an employer‑funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a “Top 10” employer by the Boston Globe's “Top Places to Work” for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodation to the known physical or mental limitation(s) 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 Absence / Leave Management Posting End Date 31/07/2026 #J-18808-Ljbffr Sun Life
$101k - $151.5k
...absence management, life, supplemental health, medical stop‑loss... ...than 6,400 employees and associates in our partner dental practices and operate nationwide. Sun Life... ...The Associate Director, Clinical Services leads... ...Client Services, Product, Claims, Operations, vendor partners...OperationsClaimsWork at officeLocal area2 days per week- Sun Life U.S. is seeking an Associate Director, Supplemental Health Claims, to provide strategic leadership and operational oversight of claims and service functions across multiple product lines. This role focuses on driving service excellence, modernizing end-to-end claims...OperationsClaims
$116.5k - $174.8k
...Associate Director, Stop-Loss Product Development Sun Life embraces a hybrid work model that balances... ...across underwriting, actuarial, claims, finance, legal, state filing, marketing... ...performance using financial and operational metrics and recommend enhancements to...OperationsClaimsWork at office- ...Medical Underwriting Manager is responsible for leading the daily operations, performance, and development of the small group medical... ...relationship between sales, GAs, agents, and program managers Approve claim referrals prior to submission to carriers Process & Quality...OperationsClaims
$210.4k - $331.1k
...Regional Medical Scientific Director The Oncology Regional Medical... ...does not include promotional claims about any drug, vaccine, or... ...Request From Global Clinical Trial Operations (GCTO) Identify barriers to... ...Your Rights EEOC GINA Supplement? We are proud to be a...OperationsClaimsFor contractorsWork at officeRemote workNight shift$300k
...Associate Medical Director - Primary Care Outpatient -Kansas City, MO COMPENSATION... ...care that delivers better health outcomes and an... ...Medical Director and Center Operations Leadership Pathways Program... ..., Dental, Vision and supplemental benefits plans for the provider...OperationsWork at officeRelocationMonday to Friday$257.94k - $368.49k
...great people to join our team. The Associate Market Clinical Director will directly supervise, performance... ...engagement, building a strong clinical‑operations synergy and culture. The time... ...bonuses or commissions. Employee Benefits Health, dental, vision, 401(k), flexible...OperationsHourly payFull timeWork at officeLocal areaFlexible hours$236.5k
...our Medical Management/Health Services team. Centene... ...the Chief Medical Director to direct and coordinate... ...medical expertise in the operation of approved quality... ...care quality. Reviews claims involving complex, controversial... ...American Osteopathic Association’s Department of...OperationsClaimsRemote jobFull timePart timeWork at officeFlexible hoursWeekend work$248.5k - $373k
...Medical Director Optum is a global organization that... ...will directly improve health outcomes by connecting... ...coverage and medical claims reviews. Our role is... ...Enterprise Clinical Services operations, the organization... ...American Osteopathic Association (AOA) ~ Active unrestricted...OperationsClaimsRemote jobMinimum wageFull timeWork experience placementLocal area- ...overseeing non‑clinical care center operations and support functions,... ...closely with the care center Director of Operations and Clinical Manager... .... Monitors care center claims and assists corporate teams with... ...protected characteristic. #J-18808-Ljbffr AMEDISYS HOME HEALTHOperationsClaimsContract workWork at office
- ...blending customized rations, supplements and premixes to meet the... ...needs of livestock producers operations. We understand that management... ...disability, long-term disability claims, parental leave, FMLA, and... .... Qualifications and Skills Associate degree and minimum of 2...OperationsClaimsHourly payFull timeTemporary workWork at office
- ...serves as the senior HR practitioner and operational leader for approximately 1,200... ...HR Manager and team on a remote basis, supplemented by regular on‑site visits to the Sedalia... ...Experience managing workers’ compensation claims and coordinating with carriers and legal...OperationsClaimsLocal areaRemote work
$310k - $368.5k
...Associate Medical Director The Associate Medical Director (AMD) is an instrumental clinical leader... ...clinical practice with leadership and operational management to ensure high-quality... ...stakeholder relationships, including health plan partners, healthcare providers (...OperationsApprenticeshipLocal areaRelocation package$142.4k - $224.1k
...working with formal project management tools and processes -OR- Associates Degree with at least 7 years' professional experience in... ...Opportunity Employment laws, visit: EEOC Know Your Rights EEOC GINA Supplement. The salary range for this role is $142,400.00 - $224,100.00....For contractorsLocal areaRelocationVisa sponsorshipFlexible hoursShift work- ...Competitive salary Comprehensive health benefits Generous PTO... ...acceptability and completeness, securing supplemental information as needed.... ...existing accounts, monitor claims and loss experience, and... ...abilities. Proficiency in computer operations within a Windows environment....OperationsClaims
- ...disability, absence management, life, supplemental health, medical stop-loss insurance,... ...more than 6,400 employees and associates in our partner dental practices and operate nationwide. The Opportunity... ...with internal partners from claims, Underwriting, etc. to identify...OperationsClaimsContract workLocal areaFlexible hours
- ...accordance with the original estimate and any supplemental work accomplished is properly added.... ...pertaining to warranty and policy claims are obtained and recorded on the repair... ...truck dealerships, leasing and rental operations, transport refrigeration locations, and...OperationsClaimsHourly payTemporary workFlexible hours
- ...Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a...OperationsClaims
$47.5k - $52.5k
...Account Associate My team's mission is to help people manage the risks of everyday life... ...Agencies, you are vital to our daily business operations and customers' success. You grow our... ...and inquiries. Process insurance claims and follow up with clients on claim status...OperationsClaims$84.2k - $126.3k
Job Description The Associate Director of Premium Administration reports to the Director of Premium Administration and owns the Premium Audit... ..., develop and coach teams, translate complex financial and operational concepts, and influence diverse stakeholders. Capable of...OperationsWork at office$60.4k - $90.6k
...disability, absence management, life, supplemental health, medical stop-loss insurance,... ...more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website... ...leaders in the Stop Loss Claims team. This role supports data driven...OperationsClaimsWork at officeLocal areaFlexible hours2 days per week$150k - $195k
...Nonclinical Development organization as Associate Director, Bioanalytical Sciences. This individual will provide scientific, operational, and cross-functional leadership for bioanalytical... .... Benefits Our benefits include premium health, financial, work-life and well-being...OperationsTemporary workRemote work- ...oversees the day-to-day service delivery, client retention, and operational performance of the Select/Small Commercial book. This role... ...and SOPs Oversee endorsements, COIs, audits, billing, and claims support Improve efficiency, turnaround times, and service accuracy...OperationsClaims
$49.2k - $66.4k
...disability, absence management, life, supplemental health, medical stop-loss insurance,... ...more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website... ...Navigator (if sold) dates, claim basis, rates, # of lives, Certain...OperationsClaimsContract workWork experience placementWork at officeLocal areaFlexible hours2 days per week$115k - $125k
...join our family, you will have a significant impact on the health and well-being of people across the globe. Whether your... ...Overview Charles River Laboratories (CRL) is seeking an Associate Director of Operations to join our team at the Kansas site in Stilwell, KS . This...OperationsLocal area- ...Job Description Job Description 1) Oversee day to day operations of claims adjusters. 2) Conduct regular reviews on open claim files. 3) Ensure claim files are properly reserved with 45 days of receipt. 4) Other supervisory responsibilities. Need to have Workers...OperationsClaims
$150k - $250k
...Connecticut Are you ready to shape the future of Accident & Health claims within a global commercial insurance organization? Join Swiss... ...stop loss and health claims organization focused on operational excellence, innovation, and superior client service....OperationsClaimsFull timeTemporary workWork at officeRemote workVisa sponsorshipRelocation package- ...document any existing damage on claim tickets. Safety Safely... ...needed to ensure smooth overnight operations. Additional Duties Help... ...and Benefits ~ Health Benefits – Medical, vision and... ...~401K – Upon eligibility ~ Supplemental Insurance – Life insurance and...OperationsClaimsHourly payMinimum wageLocal areaNight shiftWeekend workAfternoon shift
$150k - $170k
...Associate Director of Paid Media, Performance Video Launch Potato is a profitable digital media... ...growth targets, creative testing, and operating cadence. You build, optimize, and scale... ...Insurance, with ownership across auto, home, health, ACA, Medicare, and other call-based or...OperationsLive inRemote work$30 - $42 per hour
...improvement, with the goal of changing health care for the better.Job... ...all CVS policy and standard operations procedures (SOPs) at all... ...rejections and complete any manual claim formsPerform all prescription... ...THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable...OperationsClaimsFull timeWork experience placementInternshipWork at officeLocal areaNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Associate Director, Supplemental Health Claims Operations. Be the first to apply!
- retail associate manager Kansas City, MO
- remote associate product manager Kansas City, MO
- associate director Kansas City, MO
- associate manager Kansas City, MO
- associate scientific director Kansas City, MO
- associate director clinical operations Kansas City, MO
- clinic supervisor Kansas City, MO
- clinical data manager remote Kansas City, MO
- clinical research manager remote Kansas City, MO
- clinical account manager Kansas City, MO




