Associate Director – Stop Loss Claims Support and Development

Sun Life

Associate Director leading Health and Risk Solutions teams at Sun Life U.S. Providing strategic direction for quality assurance, training, and claims inquiry functions.

Posted 5/29/2026full-timeKansas City • Connecticut, Kansas, Massachusetts, Montana, Tennessee, Wisconsin • 🇺🇸 United StatesSenior💰 $101,000 - $151,500 per yearWebsite

About the role

Key responsibilities & impact

Provide leadership and strategic direction for the Health and Risk Solutions teams
Accountable for all aspects of the Stop Loss Quality Program
Ensure superior customer service for internal and external clients
Oversee functional training programs within Stop Loss Operations
Partner closely with Learning & Development to design and deliver comprehensive training programs
Identify opportunities for improvement through quality insights
Collaborate with the Process & Development staff to create targeted training solutions
Ensure consistent, effective onboarding and ongoing development programs across Operations
Oversee a Claims Inquiry team that serves as the Claims Customer Service team
Ensure proper turnaround times are met responding to internal and external clients
Execute and oversee a comprehensive quality assurance program
Collaborate with cross-functional partners to identify and address quality issues
Serve as the main point of contact for internal or external audits
Engage regularly with senior leadership, business stakeholders, and clients
Monitor key performance metrics, targets, and benchmarks for continuous improvement

Requirements

What you’ll need

Five or more years of Stop Loss and/or Medical Claims experience
Exceptional ability to build and maintain relationships with internal stakeholders and external clients
Strong communication skills, with the ability to clearly articulate strategy and value propositions
Demonstrated ability to foster trust through open, honest, and collaborative dialogue
In-depth knowledge of Stop Loss Claims philosophy and market trends
Experience with project management and change management methodologies
Strong collaboration and influence skills
Proven resilience, maintaining focus and adaptability in a changing environment
Demonstrated success presenting complex concepts to senior leaders in a clear, actionable manner
Five to seven years of people leadership experience within claims, customer service, training, or quality teams
Associate degree or equivalent experience (preferred)
Strong attention to detail with a track record of delivering superior customer service
Excellent analytical, critical thinking, and operational skills
Proficiency with Microsoft Excel, PowerPoint, Word, Visio, and/or Project

Benefits

Comp & perks

Generous vacation and sick time
Market-leading paid family, parental and adoption leave
Medical coverage
Company paid life and AD&D insurance
Disability programs
Partially paid sabbatical program
401(k) employer match
Stock purchase options
Employer-funded retirement account
Flexible, inclusive and collaborative work environment that supports career growth

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Stop Loss ClaimsMedical Claimsproject managementchange managementquality assuranceanalytical skillscritical thinkingoperational skills

Soft Skills

relationship buildingcommunication skillscollaborationinfluence skillsresilienceadaptabilityattention to detailcustomer service

Certifications

Associate degree