Associate Director, Supplemental Health Claims Operations
Listed on 2026-07-16
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Management
Risk Manager/Analyst, Operations Management, Project & Program Management, Change Management
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.
Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.
Job Description The OpportunityThis is an exciting opportunity to lead a high-performing Supplemental Health Claims team within an organization known for its strong culture, commitment to clients, and focus on helping people in moments that matter. The Associate Director, Supplemental Health Claims, will provide strategic leadership and operational oversight for claims and service functions, helping shape a best-in-class experience for claimants, clients, and partners.
This leader will drive service excellence, modernize end-to‑end claims operations, strengthen regulatory and operational controls, and develop talented teams that are accountable, collaborative, and focused on continuous improvement.
- Play a highly visible leadership role in a growing and important part of the business.
- Lead meaningful transformation across claims operations, service delivery, digital enablement, and process improvement.
- Work with a collaborative, high‑performing team that values accountability, development, and a strong service mindset.
- Partner with leaders across Product, Technology, Legal, Compliance, Finance, Customer Experience, and Operations to deliver better outcomes for clients and claimants.
Strategic Leadership & Execution
- Execute a forward-looking claims strategy aligned with enterprise objectives, client needs, and market expectations.
- Lead modernization initiatives that improve speed, quality, consistency, and the overall claimant and client experience.
- Establish clear operational performance standards, KPIs, quality benchmarks, and operating rhythms to drive accountability and continuous improvement.
- Use data, insights, and operational expertise to identify opportunities, prioritize process improvements, and deliver measurable outcomes.
Operational Excellence
- Oversee day‑to‑day claims operations across multiple product lines, ensuring work is handled accurately, efficiently, and with strong service discipline.
- Ensure seamless handling of complex, high‑visibility, or escalated claims and service matters.
- Drive continuous process improvement using data insights, Agile and Lean practices, automation, and workflow optimization.
- Monitor operational capacity, resource allocation, service levels, productivity, quality, and risk indicators.
People Leadership & Team Development
- Lead, coach, and develop claims managers and team members, creating an environment where people can do their best work and grow their careers.
- Foster a culture of accountability, inclusion, collaboration, service excellence, and continuous learning.
- Support workforce planning, training, talent development, engagement, and retention strategies.
- Build team morale and strengthen employee experience through clear expectations, meaningful feedback, and visible leadership.
Compliance, Risk & Controls
- Ensure adherence to federal and state regulations, internal policies, contractual obligations, and industry standards.
- Partner with Legal, Compliance, Audit, Privacy, and operational risk teams to proactively identify, assess, and mitigate risks.
- Maintain strong controls, documentation, and governance practices that protect data integrity, privacy, and operational resilience.
- Promote a risk‑aware culture while enabling efficient, client‑centered execution.
- Collaborate with Product, Underwriting, Technology, Finance, Customer Experience, and Operations teams to support business goals and strengthen service delivery.
- Serve as a trusted claims subject matter expert…
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