Toronto, Ontario, Canada · Hybrid
$110k–$180k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Claims Adjudication, Underwriting, Risk Management, Problem Solving, Analytical Skills
Toronto, Ontario, Canada · Hybrid
$110k–$180k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Claims Adjudication, Underwriting, Risk Management, Problem Solving, Analytical Skills
Toronto, Ontario, Canada · Hybrid
$80k–$128k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Internal Audit, Risk Management, Control Frameworks, Project Management, Data Analytics
Montreal, Quebec, Canada · Hybrid
$49k–$77k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Bilingualism (French/English), Claims Adjudication, Analytical Skills, Problem Solving, Medical Knowledge
Toronto, Ontario, Canada · Hybrid
$60k–$97k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Needs Analysis, Requirements Gathering, User Story Writing, Data Mapping, End-to-end Validation
Waterford, Munster, Ireland · Remote OK
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Claims Administration, Life Insurance Knowledge, Microsoft Word, Microsoft Excel, Written Communication
Toronto, Ontario, Canada · Hybrid
Our student and new graduate programs offer a chance to explore Sun Life from the inside. You’ll make a difference in the lives of our customers and communities, while building the skills and experience that allow you to…
Skills: Financial Reporting, Data Analysis, Microsoft Office, Workiva, Problem Solving
Toronto, Ontario, Canada · Hybrid
$140k–$225k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: High Net Worth Underwriting, Risk Assessment, Strategic Leadership, Client Relationship Management, Operational Transformation
Toronto, Ontario, Canada · Hybrid
$80k–$128k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Audit Management, Risk Management, Internal Controls Evaluation, Project Management, Stakeholder Influence
Toronto, Ontario, Canada · Hybrid
$140k–$225k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: High Net Worth Underwriting, Risk Assessment, Strategic Leadership, Client Relationship Management, Operational Transformation
Waterford, Munster, Ireland · Remote OK
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Claims Administration, Life Insurance Knowledge, Microsoft Word, Microsoft Excel, Written Communication
South Jakarta, Java, Indonesia · On-site
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Actuarial Knowledge, Analytical Skills, Problem-solving, Microsoft Office, Programming
Hong Kong, China · On-site
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Corporate Governance, Company Secretarial Duties, Legal Operations, Legal Technology Strategy, Project Management
South Jakarta, Java, Indonesia · On-site
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Actuarial Knowledge, Analytical Skills, Problem-solving, Microsoft Office, Programming
Taguig, National Capital District, Philippines · On-site
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: NOC Monitoring, Data Analytics, Site Reliability Engineering, OpenTelemetry, Splunk
Region of Waterloo, Ontario, Canada · Hybrid
$60k–$97k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Needs Analysis, Requirements Writing, User Stories, Data Mapping, End-to-end Validation
Hong Kong, China · On-site
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Business Development Strategy, Sales Incentive Design, Performance Management, Sales Analytics, Stakeholder Management
Hong Kong, China · On-site
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Corporate Governance, Company Secretarial Duties, Legal Operations, Legal Technology Strategy, Project Management
Hong Kong, China · On-site
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Business Development Strategy, Sales Incentive Design, Performance Management, Sales Analytics, Stakeholder Management
Montreal, Quebec, Canada · Hybrid
$49k–$77k/yr
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager…
Skills: Bilingualism (French/English), Claims Management, Analytical Skills, Problem Solving, Medical Knowledge
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Lead the claims and underwriting risk management function to improve the claims experience and foster a collaborative environment within the Claims Centre of Excellence. Provide technical expertise for complex cases and oversee rescissions and fraud risks for new business applications.
Requires a university degree and at least 10 years of claims adjudication experience in Life, Critical Illness, Disability, and Long-Term Care. A minimum of 5 years in a leadership role and industry-related certifications like ACS or ALHC are required.
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
The Director, Underwriting and Claims Risk Management for Sun Life Canada is recognized in the Canadian Insurance claims community as a high performing claims and underwriting leader who thrives on the challenge of applying innovative problem-solving skills to improve the claims experience. Through active, hands-on leadership they will foster a collaborative, results oriented environment for claims adjudicators across the Claims Centre of Excellence (COE). The Director will provide claims expertise with internal and external parties including Product, Underwriting, Legal, Reinsurers and Investigators. This role will also be involved in overseeing cross functional underwriting tasks for new business applications.
Support the VP, Chief Underwriter and Claims Risk Officer.
Promote excellence and consistency in claims risk assessment across SLF Canada.
Develop and conduct claim reviews/audits for Individual and Group products within the Claims COE and recommend periodic changes to the review programs as well as the claims career ladders and progression model.
Continuously contribute to the development of the organization’s claims philosophies by monitoring emerging trends and best practices. Recommend and implement changes to claims philosophies, practices and processes and assists with new technologies.
Champion and advocate for a positive and consistent claims experience for all clients of SLF Canada
Participate in and coordinate reinsurance audits and ongoing communications regarding changes to claims policies
Keep abreast of emerging trends and industry practices
Act as a senior claims resource for complex and high dollar cases, providing deep technical expertise, consulting with Legal, Medical and Chief Claims Officer as necessary to resolve escalations
Partner and build relationship with industry reinsurance partners and engage in discussions related to complex claims
Manage and oversee rescissions and fraud risks related to new business applications.
Industry related courses ACS or ALHC.
University degree, with preference given to medical, science, legal or business
Minimum 10 years of claims adjudication experience including deep knowledge of Life, Critical Illness, Disability and Long-Term Care
Minimum of 5 years in a leadership role.
Problem Solving and Analytical skills– ability to analyze and resolve complex issues.
Strong People Skills – ability to handle escalated cases, build relationships, influence outcomes and negotiate difficult situations
As this position is posted in several locations, we specify that bilingualism (French, English, both oral and written) is required for Quebec only for the frequent interactions with English and French-speaking colleagues or internal partners across Canada or worldwide.
Being a member of the Sun Life family, a group of people united by our Purpose: to help Clients and Employees achieve lifetime financial security and live healthier lives.
As a hybrid organization, you and your leader use business and Client needs to choose where you work, at home or in the office.
We’re committed to creating an inclusive and respectful environment. Our goal is to make sure all our employees have the chance to live up to their full potential.
We are thrilled to be recognized by Excellence Canada with their top-level certification, the Canada Order of Excellence for Mental Health at Work®, for prioritizing employee well-being, fostering a positive work culture, and achieving excellence in mental health.
The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other factors. In addition to Base Pay, eligible Sun Life employees participate in various incentive plans, payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.
Diversity and inclusion have always been at the core of our values at Sun Life. A diverse workforce with wide perspectives and creative ideas benefits our Clients, the communities where we operate and all of us as colleagues. We welcome applications from qualified individuals from all backgrounds.
Persons with disabilities who need accommodation in the application process, or those needing job postings in an alternative format, may e-mail a request to [email protected].
We are proud to be a hybrid organization that offers our employees the choice and flexibility to work from both the office and virtually based on the needs of the business, our Clients and you! Several work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
We may use artificial intelligence to support candidate sourcing, screening, interview scheduling.
We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.
Sun Life is a leading financial services organization dedicated to helping people achieve lifetime financial security and live healthier lives. We provide a wide range of insurance and investment products and services in key markets around the world including Canada, the United States, the United Kingdom, Hong Kong, the Philippines and Indonesia. At Sun Life, we have more than 34,000 employees and 112,900 advisors worldwide. Websites: Canada www.sunlife.ca/en/ US www.sunlife.com/us/en/ Vietnam www.sunlife.com.vn Hong Kong www.sunlife.com.hk Indonesia www.sunlife.co.id Malaysia www.sunlife.com.my Philippines www.sunlife.com.ph
Offices: 18 Hung Luen Road, Hong Kong, HK · 2323 Grand Blvd, Kansas City, MO 64108, US · 1 Sun Life Park, Wellesley Hills, MA 02481, US · 5455 Avenue de Gaspe, Montreal, QC H2T 3B3, CA · 5 Công trường Mê Linh, Ho Chi Minh, Vietnam, Ho Chi Minh City 71006, VN
Sun Life is a leading financial services organization dedicated to helping people achieve lifetime financial security and live healthier lives. We provide a wide range of insurance and investment products and services in key markets around the world including Canada, the United States, the United Kingdom, Hong Kong, the Philippines and Indonesia. At Sun Life, we have more than 34,000 employees and 112,900 advisors worldwide. Websites: Canada www.sunlife.ca/en/ US www.sunlife.com/us/en/ Vietnam www.sunlife.com.vn Hong Kong www.sunlife.com.hk Indonesia www.sunlife.co.id Malaysia www.sunlife.com.my Philippines www.sunlife.com.ph
Offices: 18 Hung Luen Road, Hong Kong, HK · 2323 Grand Blvd, Kansas City, MO 64108, US · 1 Sun Life Park, Wellesley Hills, MA 02481, US · 5455 Avenue de Gaspe, Montreal, QC H2T 3B3, CA · 5 Công trường Mê Linh, Ho Chi Minh, Vietnam, Ho Chi Minh City 71006, VN
