Senior Manager, Stop Loss & Health Claims — Kansas City, MO

Job Description

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK.

The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role, you'll oversee complex claims operations, manage a high-performing team, and collaborate with key partners to drive our continued growth and excellence in customer service.

How you will contribute:

• Lead Claims Operations: Direct the evaluation, investigation, negotiation, and settlement of complex claims, ensuring optimal balance between policyholder interests and company objectives.
• Manage and Develop Staff: Supervise, mentor, and grow a talented claims team, overseeing work assignments, performance management, and professional development.
• Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness.
• Collaborate with Partners: Work closely with third-party administrators, brokers, agents, policyholders, vendors, and legal counsel to maintain Sun Life's strong reputation and drive business growth.

What you will bring with you:

• Ability to work with a diverse range of people
• 5+ years of medical stop loss insurance or health insurance claims experience required, previous management/leadership experience preferred
• Proven leadership skills and deep industry expertise
• Strong analytical and problem-solving abilities
• Experience in stakeholder management and customer-facing roles
• In-depth knowledge of claims practices, state and federal laws
• Excellent communication and negotiation skills
• Ability to analyze and communicate complex data and trends
• Proficiency with claims management systems and Sun Life products

Salary

$68,200-$102,300

Job Category:

Claims - Health & Dental

Posting End Date:

30/08/2026