Manager, Data Intake Claim Services

Sun LifeHartford, CT
19hHybrid

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 a Manager, Data Intake you'll lead a high-performing team driving performance excellence and operational efficiency for Stop Loss & Health Claims Services. This strategic position focuses on developing talent, optimizing claims processing operations, and ensuring your team consistently meets service goals and quality standards. You'll partner closely with the Claims Services Senior Manager to build expertise, implement process improvements, and create a culture of continuous development and accountability.

Requirements

  • Ability to work with a diverse range of people
  • Prior management experience required; BS/BA degree with 5-7 years of industry experience preferred
  • Advanced knowledge of Microsoft Excel, Word, and PowerPoint
  • Strong understanding of stop loss insurance products and medical claims data/processes
  • Data intake and stop loss product expertise
  • Exceptional organizational skills with ability to independently manage time and staff performance
  • Excellent verbal and written communication and presentation abilities
  • Proven ability to build partnerships and influence across all organizational levels
  • Results-oriented mindset with strong analytical and problem-solving skills
  • Track record of documenting and driving process efficiencies and improvements
  • Ability to manage and develop high-performing teams in fast-paced environments
  • Strong resourcefulness and adaptability
  • Commitment to continuous learning and professional development

Responsibilities

  • Manage individual and team performance in a high-production environment, conducting regular one-on-one and team meetings to ensure alignment with goals and metrics
  • Oversee stop loss insurance claims processing, including medical/Rx claims creation, expense line input, data merging, and Rx reporting
  • Monitor and analyze team metrics using advanced Excel skills to track efficiency, identify trends, and uncover development opportunities
  • Ensure accuracy and data integrity in all processing activities, appropriately utilizing available resources
  • Document and communicate policies and procedures clearly, following up to ensure staff compliance with current practices
  • Manage data intake inventory levels and coordinate communication with internal and external clients alongside Claims Managers
  • Oversee data management and reporting functions, maintaining spreadsheets for collection, storage, and analysis
  • Collaborate across the organization to meet data intake needs, addressing issues with data sources and templates
  • Update Visual Boards and tracking systems to maintain transparency on team performance
  • Design and facilitate training sessions based on quality trends, error findings, and skill gaps identified through feedback
  • Develop current staff and manage the complete recruitment, onboarding, and training process for new employees
  • Partner with Associates and Quality Analysts to create comprehensive training materials, presentations, and recorded sessions
  • Empower staff to develop and execute continuous improvement initiatives independently, presenting results to upper management
  • Meet regularly with Senior Manager to communicate improvements, concerns, and team development opportunities
  • Incorporate Brighter Way principles in everyday work and model positive engagement during team discussions

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.
  • 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.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Manager

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service