Sun Life Financial LTD Sr. Manager in Windsor, Connecticut

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Job Description:

This position is responsible for the overall management and supervision of a claims unit, including directing the evaluation, investigation, negotiations, and settlement of complex claims department(s). Ensures that all legitimate claims and benefits are paid as quickly as possible, keeping the interest of both policy owners and the company in proper balance.

Main Accountabilities

  • Plans and directs the work of Claims unit personnel, including directing work assignments, scheduling and reviewing work-in-progress. Monitors work flow to ensure continued prompt and accurate claims service. Superior understanding of portfolio Management and Accuracy and Execution reports.

  • Supervises staff, with responsibility for hiring, performance management, and coordinating training and development.

  • Reviews and handles all problem, complex, or special claims cases and settles or initiates further action within approved authority limits, ensuring that policyholders are treated fairly and equitably and that the terms and policies are in compliance with state and federal laws.

  • Represents Sun Life to outside agencies, such as third party administrators, brokers/agents, policyholders vendors, and outside counsel to ensure continued good relations and image of Sun Life which leads to policyholder satisfaction and new and renewed business.

  • Is considered a leader/expert within the department. Takes the initiative to problem solve as needed. This might include educating the field force and marketing department on claim philosophy and collaborating with the Senior Leadership team.

  • Has demonstrated the ability to represent the department in face to face meetings with customers. Participates in Finalist Presentations as needed.

  • Identifies problem areas and develops, implements and evaluates procedures to correct the problem which will lead to more accurate, prompt claims service to the policyholder, increase the overall effectiveness and efficiency of the unit and ensure uniformity and consistency in all procedures.

  • Ability to review various department's reports and communicate results and trends.

  • Requires considerable judgment and initiative and makes recommendations which may have some influence on company operations.

  • Requires ability to understand state and federal laws as they apply to claims practice and detailed knowledge of most claims practices and accounting.

  • Requires interaction with Legal Department on complex Claim and legal issues.

  • Recognizes the value of professional networking and idea sharing within the industry and has presented to peers or has sat on panels in industry meetings.

  • Demonstrated ability to effectively communicate and negotiate to achieve results through influencing others within the department/ organization, both bottom up and top down

  • Superior knowledge of company's products and computer system.

  • Eight to ten years experience in claims with four to five years of management experience.

Sun Life Financial (U.S.) Services Company, Inc. is a federal contractor subject to Executive Order 11246, Section 4212 of the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended, and Section 503 of the Rehabilitation Act of 1973, as amended. As such the company is committed to taking positive steps to implement the employment-related aspects of the company’s equal employment opportunity policy. It is the company’s policy to take affirmative action to employ, advance in employment, and otherwise treat qualified minorities, females, protected veterans, and individuals with disabilities without regard to their race/ethnicity, sex, veteran status, or disability.

Pursuant to 41 CFR §§ 60-300.44(f)(1)(ii) and 741.44(f)(1)(ii), we hereby notify you of our company policy related to our affirmative action efforts and request appropriate action on your part.

Job Category:

Claims - Life & Disability

Posting End Date: