Senior Manager, LTD Claims (Remote)

Sun Life•Portland, ME

12d•Hybrid

About The Position

The Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long-Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. 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.

Requirements

Technically proficient in disability products and claims, with a minimum of 5 years progressively responsible disability claims experience
Attains and maintains appropriate TPA licenses in accordance with the Claims Licensing Policy
Demonstrated leadership qualities; prior management experience a plus
Solid mathematical skills
Proven ability to train and motivate employees
Demonstrated ability and willingness to give candid and meaningful feedback
Expert technical ability in interpreting and communicating disability policy/contract language
Exposure to multiple and complex disability claims issues with demonstrated experience in generating, selecting and implementing solutions to resolve those issues
Knowledge of Federal, State and local regulations relating to disability
Excellent analytical, critical thinking, problem solving and decision-making skills
Excellent verbal communication skills, with the ability to be both pleasant and professional
Ability to represent FullscopeRMS and clients effectively
Solid mathematical skills
Small and large group presentation skills
Ability to work in a self-directed manner, and initiating and prioritizing regular work duties and projects
Detail oriented, organized, the ability to multi-task, and strong time management skills with the ability to meet deadlines and respond to unexpected requests in a prompt manner
Strong computer skills, proficient in PC environment and MS Word, Excel, and email systems
Ability to work professionally and effectively with co-workers, clients, claimants, vendors and others with whom FullscopeRMS does business

Responsibilities

Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners
Ensures the team operation is efficient, effective and in compliance with all federal and state requirements
Evaluates the team plan for continual improvement of the efficiency and effectiveness of the group and provides individuals with professional and personal growth
Develops and fosters excellent relationships with clients
Collaborate with internal and external partners regarding the profitability of clients’ blocks of business
Ensures client complaints/issues are addressed promptly and in accordance with service standards
Utilizes operational metrics and reports to track trends and results and adjusts tactics accordingly
Participates in the development and communication of internal policies, procedures and systems
Supports technological initiatives for the enhancement and efficiency of the claims management process
Supports and executes claim management initiatives
Conducts internal and external training sessions
Conducts internal and external claim audits
Participates in new client prospecting and implementation
Completes continuing education requirements to maintain license
Participates in industry meetings
Participates in product development and product enhancement
Other duties and responsibilities as assigned