Senior Manager, Claims

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:

·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

·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

·Participates in the development and communication of internal policies, procedures and systems

·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

·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 minded 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
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.

Not ready to apply yet but want to stay in touch?   to stay connected until the time is right for you! 

Job Category:

Claims - Life & Disability

Posting End Date: 20/10/2026