Senior Manager, LTD Claims (Remote)

Job Description

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.

How you will contribute

• 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
• Ensures the team operation is efficient, effective and in compliance with all federal and state requirements
• 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
• Safeguards 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 will bring with you

• Tactically 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
• Solid mathematical skills
• Prior proven ability to train and motivate employees
• Proven 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
• 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

Salary Range: $72,500 - $108,800

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.

About the Role

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.

Benefits

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.

Equal Opportunity Employer

We are dedicated to creating a work environment where everyone is rewarded for their contributions. We are committed to paying a competitive salary and offering a comprehensive benefits package that includes 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 also offer a 401(k) employer match, stock purchase options and an employer-funded retirement account.

Company Culture

We are 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.

Contact Information

If you have any questions, please email thebrightside@sunlife.com to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice.