Hybrid Director, Claims Risk Management

Posted 18 hours ago

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About the role

  • Director, Claims Risk Management for Sun Life Canada responsible for excellence in claims risk assessment and leading claims adjudicators. Collaborating with internal and external parties to enhance the claims experience.

Responsibilities

  • Support the VP, Chief Underwriter and Claims Risk Officer
  • Promote excellence and consistency in claims risk assessment across SLF Canada
  • Develop and conduct claim reviews/audits for Individual and Group products within the Claims COE and recommend periodic changes to the review programs
  • Continuously contribute to the development of the organization’s claims philosophies
  • Champion and advocate for a positive and consistent claims experience for all clients of SLF Canada
  • Participate in and coordinate reinsurance audits and ongoing communications regarding changes to claims policies
  • Provide deep technical expertise for complex and high dollar cases

Requirements

  • Minimum 10 years of claims adjudication experience including deep knowledge of Life, Critical Illness, Disability and Long-Term Care
  • Minimum of 5 years in a leadership role
  • Industry related courses ACS or ALHC
  • University degree, with preference given to medical, science, legal or business
  • Problem Solving and Analytical skills– ability to analyze and resolve complex issues
  • Strong People Skills – ability to handle escalated cases, build relationships, influence outcomes and negotiate difficult situations
  • Bilingualism (French, English) for Quebec

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development programs

Job title

Director, Claims Risk Management

Job type

Experience level

Lead

Salary

CA$110,000 - CA$180,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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