Director, Stop Loss Claims Strategy and Innovation

Sun Life • Wellesley, MA

1d • Hybrid

About The Position

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. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: As the Director, Stop Loss Claims Strategy and Innovation, you will lead an organization focused on enhancing our Stop Loss Claims capabilities and improving the support we provide to our distribution partners. You will have the opportunity to lead a dedicated team that will support the Stop Loss Claims organization with strategic initiatives, process improvements, client support, claims accuracy and technology implementations. This role is key in Sun Life's journey in helping clients achieve lifetime financial security and live healthier lives. How you will contribute: In partnership with the AVP, Stop Loss Claims; establish the Stop Loss Claims organization’s strategic direction and execute on our strategy with the client at the center of everything we do Regularly interact with senior leadership, business stakeholders, and clients to influence business solutions and strategy Identify best practices and lead organizational change initiatives Promote superior customer service to our internal and external partners while seeking opportunities to increase client satisfaction Support new claim system development and implementation for Stop Loss Create and foster a team environment that encourages innovation and continuous improvement Lead complex and strategic initiatives, managing projects in both traditional and agile approaches Translate strategies into actionable project plans and oversee their execution Stabilize business processes and produce streamlined documentation, including end-to-end flows cross-functionally Create an efficient training and development program to ensure we are setting our staff up for success Proactively identify opportunities for enhancements to processes, procedures, and reporting systems to improve the client experience Effectively manage a Data Analysis & Innovation team to provide quality reports and promote analysis to drive further improvements within our Stop Loss team What you will bring with you: Ability to work with a diverse range of people Exceptional leadership skills with 5-7 years of experience leading expanded teams within medical stop loss, health insurance, workers compensation or related industry 5+ years of Stop Loss product exposure and claim administration experience Bachelor's degree preferred Stop Loss Claims expert with demonstrated experience managing multiple teams and functions Proven success leading organizational change and strategic initiatives Superior ability to interface and build relationships with clients and internal stakeholders Well-developed communication skills, including an ability to articulate our strategic direction and key points of differentiation externally Foster strong relationships based on trust, open and honest dialogue Strong business acumen Thorough working knowledge of Sun Life Stop Loss Claims philosophy and market trends Experience with project management and change management methodologies Superior collaboration skills Demonstrates resilience by reacting positively to changes and maintains poise, focus and flexibility when encountering difficulties or obstacles Demonstrated ability to develop and present material to senior leaders that translates complex scenarios into simple observations, recommendations, and decision-making opportunities Proficiency with Excel, PowerPoint, Microsoft Word, Visio and/or Project Office Salary: $130,600-$195,900 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? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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. Job Category: Business Analysis - Process Posting End Date: 12/04/2026 Shine together At Sun Life, you can be your most brilliant self. Our supportive, flexible, and inclusive work environment is one where you – and your career – can thrive. Whatever your aspirations, collaborative leaders and colleagues are ready to help you learn, grow, and succeed. Make life brighter We’re a global company with a passion for people. Our purpose is to help Clients achieve lifetime financial security and live healthier lives. As a team of 30,000 across 26 countries, our impact is far-reaching, and locally relevant There’s power in numbers. As part of Sun Life’s growing team, you have an impact on people in your community and around the world. Shape the future With an optimistic eye on a brighter future, we drive to innovate. Be part of leading change, push boundaries and try new ways of working. Use data to drive bold actions. Be agile and pivot as we test and learn. At Sun Life, we’re driving transformation, sustainability and innovation for our Clients, employees, partners, and communities. Join us. Together, we can make the future brighter. Join a top employer for a brighter future. Visit Sun Life Careers

Requirements

• Ability to work with a diverse range of people
• Exceptional leadership skills with 5-7 years of experience leading expanded teams within medical stop loss, health insurance, workers compensation or related industry
• 5+ years of Stop Loss product exposure and claim administration experience
• Bachelor's degree preferred
• Stop Loss Claims expert with demonstrated experience managing multiple teams and functions
• Proven success leading organizational change and strategic initiatives
• Superior ability to interface and build relationships with clients and internal stakeholders
• Well-developed communication skills, including an ability to articulate our strategic direction and key points of differentiation externally
• Foster strong relationships based on trust, open and honest dialogue
• Strong business acumen
• Thorough working knowledge of Sun Life Stop Loss Claims philosophy and market trends
• Experience with project management and change management methodologies
• Superior collaboration skills
• Demonstrates resilience by reacting positively to changes and maintains poise, focus and flexibility when encountering difficulties or obstacles
• Demonstrated ability to develop and present material to senior leaders that translates complex scenarios into simple observations, recommendations, and decision-making opportunities
• Proficiency with Excel, PowerPoint, Microsoft Word, Visio and/or Project Office

Responsibilities

• In partnership with the AVP, Stop Loss Claims; establish the Stop Loss Claims organization’s strategic direction and execute on our strategy with the client at the center of everything we do
• Regularly interact with senior leadership, business stakeholders, and clients to influence business solutions and strategy
• Identify best practices and lead organizational change initiatives
• Promote superior customer service to our internal and external partners while seeking opportunities to increase client satisfaction
• Support new claim system development and implementation for Stop Loss
• Create and foster a team environment that encourages innovation and continuous improvement
• Lead complex and strategic initiatives, managing projects in both traditional and agile approaches
• Translate strategies into actionable project plans and oversee their execution
• Stabilize business processes and produce streamlined documentation, including end-to-end flows cross-functionally
• Create an efficient training and development program to ensure we are setting our staff up for success
• Proactively identify opportunities for enhancements to processes, procedures, and reporting systems to improve the client experience
• Effectively manage a Data Analysis & Innovation team to provide quality reports and promote analysis to drive further improvements within our Stop Loss team

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director