Hartford, Connecticut, United States · Hybrid
$49k–$66k/yr
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government pr…
Skills: Stop Loss Claims, Stop Loss Underwriting, Contract Customization, Financial Services, CMS System Setup
Lévis, Quebec, 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: Business Development, Sales Management, Recruiting, Mentoring, Performance Management
Lévis, Quebec, 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: Sales Management, Business Development, Prospecting, Recruitment, Mentoring
London, 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: Business Development, Sales Management, Coaching, Mentoring, Financial Services Knowledge
London, 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: Business Development, Sales Management, Coaching, Mentoring, Performance 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: Claims Management, Leadership, Team Management, Analytical Skills, Problem Solving
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: Claims Management, Leadership, Team Management, Analytical Skills, Problem Solving
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: Agency Recruitment, Event Planning, Marketing Activities, Promotional Campaigns, Social Media Management
Toronto, Ontario, Canada · Hybrid
$125k–$195k/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: Java, React, Enterprise Integrations, Salesforce, Rapid Prototyping
Toronto, Ontario, Canada · Hybrid
$125k–$195k/yr
Bring us your passion for digital or data analytics, and we’ll put you to work on exciting initiatives that answer the challenge: "How can we do that better?” Working with a dedicated team of energetic, forward-thinking …
Skills: Java, React, Enterprise Integrations, Software Architecture, Rapid Prototyping
Toronto, Ontario, Canada · Hybrid
$125k–$195k/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: Java, React, Enterprise Integrations, Salesforce, System Architecture
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: SQL, Python, Tableau, Data Visualization, Business Analytics
Hartford, Connecticut, United States · Hybrid
$138k–$207k/yr
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government pr…
Skills: Strategic Planning, API Strategy, EDI Connectivity, Lean-Agile Leadership, Stakeholder Management
Hartford, Connecticut, United States · Hybrid
$138k–$207k/yr
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government pr…
Skills: Strategic Planning, EDI Connectivity, API Strategy, People Leadership, Change Management
Taguig, Metro Manila, Philippines · 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: Escalation Management, Client Relationship Management, Problem Solving, Critical Thinking, Time Management
Taguig, Metro Manila, Philippines · 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: Escalation Management, Client Relationship Management, Problem Solving, Critical Thinking, Time 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: Tableau, SQL, Python, Data Visualization, Business Analytics
Manila, Metro Manila, Philippines · 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: Operations Management, Strategy Development, Service Delivery, Performance Management, 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: Financial Reporting, Accounting, Excel, Data Analysis, Reinsurance
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: Financial Reporting, Accounting, Excel, Data Analysis, Reinsurance
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The role involves ensuring new and renewal contracts match underwriting approvals and customizing them based on TPA work-arounds. It also requires setting up and verifying claims and billing systems to ensure accurate policy and payee information.
Candidates should have a bachelor's degree or equivalent experience and 2-3 years of experience in financial services. Preferred qualifications include experience in Stop Loss claims or underwriting and the ability to interpret complex client plan documents.
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. 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.
Location: 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.
Ensuring the new and renewal contracts match what has been approved by underwriting and the TPA Work Arounds (Specific, Aggregate and Health Navigator (if sold) dates, claim basis, rates, # of lives, Certain Fees, Address, Monthly Accommodation, Terminal Liability, Lasers, Retirees, Transplant Vendor Endorsement, and the Brokers, GA, TPA are all correct.
Customizing Contract according to TPA Work Arounds and what was sold (ex: If more than one account then sub accounts must be customized – Different Claim Basis, rates, names)
Setting up the claims system, CMS to make sure all the information is correct, for example (Deductibles, claim basis, Certain Fees, Lasers, Retirees (covered or not), and then enter all contacts for policy and Payee and Banking information. In addition-Setting up Compass for billing to be sent out to the group.
Check the claim system CMS (verifying all the information is correct (Deductibles, claim basis, Certain Fees, Lasers, Retirees (covered or not), making sure the Payee and Banking information is correct and checking contacts to make sure they are up to date.
Review the previous year’s contract to look for rate tier changes (ex: 2 Tiers to 4 Tiers)
If rate tiers change or Health Navigator has been added then that information needs to be updated in compass.
Administer revisions to contracts when notified by underwriting
Other duties as assigned
Bachelor’s degree or equivalent work experience
2-3 years of experience in the financial services industry
2 years of experience working in Stop Loss claims and/or Stop Loss underwriting, preferred
Ability to comprehend and interpret client plan documents as well as Stop Loss policies, preferred
Broad knowledge of Stop Loss Insurance products and processes, preferred
Ability to think creatively to resolve the more complex or non-routine issues
Strong written and verbal communication skills and experience
Ability to effectively coach, develop and motivate team member to achieve Department and SLF goals
Strong negotiation, drawing conclusions and problem solving skills and experience
Ability to develop and maintain effective, professional business relationships across all levels of the organization and external TPA administrators and customers
Accountable for contributing to a workplace environment that fosters mutual respect, cooperation, information sharing and commitment to delivering the expected service and financial results
Strong PC Proficiency
Ability to successfully meet deadlines and achieve goals
Knowledge of company computer systems and products a strong plus
$49,200 - 66,400
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.
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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. We encourage applications from qualified individuals from all backgrounds.
At Sun Life, we prioritize your well-being with comprehensive benefits, including 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. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We’re 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. Visit our website to learn more about our benefits and recognition within our communities.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email [email protected] to request an accommodation.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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
