Manager, Data Intake Claim Services

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.

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.

• 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

• 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 Power Point
• 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

$54,100-$81,200

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business.

We are dedicated to creating a work environment where everyone is rewarded for their contributions.

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We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

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…