Senior Manager, Claims

Sun Life U.S.

Job Description

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

• Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners

• Evaluates the team plan for continual improvement of the efficiency and effectiveness of the group and provides individuals with professional and personal growth

• Develops and fosters excellent relationships with clients

• Collaborate with internal and external partners regarding the profitability of clients’ blocks of business

• Ensures client complaints/issues are addressed promptly and in accordance with service standards

• Utilizes operational metrics and reports to track trends and results and adjusts tactics accordingly

• Supports technological initiatives for the enhancement and efficiency of the claims management process

• Supports and executes claim management initiatives

• Conducts internal and external training sessions

• Conducts internal and external claim audits

• Participates in new client prospecting and implementation

• Completes continuing education requirements to maintain license

• Participates in industry meetings

• Participates 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

• Tech 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

• 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 minded to change and new ideas

• Confidentiality, discretion and tact are paramount

• 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