Senior Manager, Claims

Sun Life Financial   •  

Portland, ME

Industry: Finance & Insurance


5 - 7 years

Posted 34 days ago

At Sun Life, we work together, share common values and encourage growth and achievement. We offer many career paths that attract a wide variety of talent and skills. Follow a path that lets your talents shine.

Job Description:

Position Summary:

The Senior Manager, STD Claims is part of the Claims Management Team and is responsible for the successful management assigned team of analysts. This position is responsible for fostering client relations and ensuring the accurate risk management of disability claims.

The essential functions and responsibilities of this job position include, but are not limited to the following:

  • 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
  • Collaborates 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

Position Requirements and Qualifications:

  • 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 and State regulations relating to disability claims management
  • 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 DRMS 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 DRMS does business

Disability RMS is an equal employment and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by law.