Sun Life jobs in Kansas City, MO

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: 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. The opportunity: The Senior Manager, Accommodations Services provides supervisory responsibilities to the Accommodations team in support of Sun Life Integrated Absence, Disability and Accommodation services. In this role, you work within a team environment among a peer group and with key business partners to service client needs related to absence, disability and accommodations. Additionally, you are responsible for your team performance and meeting the established operational area standards for the professional management of both routine and complex claims for Absence and Disability Management. How you will contribute: * Lead and develop a team managing ADA and PWFA accommodations * Conduct quality reviews and provide coaching to staff * Drive talent development, including selection, retention, and performance management * Facilitate interactive dialogues with employees, medical professionals, and other stakeholders * Monitor workflow and ensure optimal case management * Oversee utilization of internal and external resources * Participate in strategic planning for Accommodation Services * Identify areas for continuous improvement * Monitor and report on key performance metrics * Contribute to educational seminars and client presentations What you will bring with you: * Ability to work with a diverse range of people. * 5+ years' direct experience required in managing accommodations, absence, vocational services and/or claims team. * Previous people leadership/ management experience strongly preferred. * Disability and Absence Management knowledge with demonstrated expertise in Federal/State FMLA, short-term disability, statutory disability plans, ADA and PWFA.and/or the disability insurance industry * Strong communication and negotiation skills * Advanced knowledge of Accommodation and Vocational Services * Excellent analytical, critical thinking, and problem-solving abilities * Ability to work in a fast-paced, service-oriented environment * Strong organizational and time management skills * Collaborative team player with the ability to work independently Salary: $71,100-$106,700 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Life & Disability Posting End Date: 19/12/2025

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. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: The Client Engagement Representative will be responsible for creating, maintaining, and disseminating standard and ad hoc reports (both internally and externally). This position will also handle the reporting and monitoring of client encounter dashboards, updating stakeholder reporting tracking sheets and other contractually required reporting. How you will contribute: * Routine client communication and preparing data for client meetings. * Coordinates and reviews Performance Scorecards and Provider Incentive reports for accuracy and completeness. * Service Now and JIRRA System Requests * Contractually required work (standard reporting). * AC reporting/report requests from clients. * Prepare and Review encounter and claims dashboard to manage rejections. * Reply to internal and external emails (VM/email). * Scheduling meetings; coordinating all related materials; establishing video conferences. * Office management, IT and facilities liaison (where applicable). * Performs all necessary administrative functions consistent with company policies, including, but not limited to submission of any required reports and / or updates to Provider Engagement, Client Services, UR and PQMC Committee. * Other duties as assigned. What you will bring with you: * Associate's degree or equivalent work experience. * 3 years' office/administrative experience in a healthcare environment. * Advanced skill in MS Office (Word, Excel, PowerPoint, Outlook, Visio). * Outstanding communication and able to effectively communicate within all levels of the company and client organizations. * Ability to handle data and information with confidentiality. * Strong organizational and time management skills. * Process improvement. * Ability to work with minimal supervision. * Ability to prioritize and organize multiple tasks with tight deadlines. * Ability to manage multiple projects and priorities in a fast-paced, result-driven environment. Salary: $43,900 - 59,300 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Sales - Distribution Support Posting End Date: 21/12/2025

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 opportunity Short-Term Disability insurance provides an income to employees who cannot work due to an illness or injury. As a Case Specialist, you will review claims for Short-Term Disability and decide if the person applying for benefits are eligible to receive them. Some claims are easy, some are more complex. But all claims give you the opportunity to interact and make a difference for our Clients daily. How you will contribute * Review claim forms to make sure the person applying for benefits meets all the requirements to receive benefits, including their medical condition, the recommendations of their health care providers, and the details of the short-term disability contract. * Approve the benefits if the person meets all these requirements. * Process these claims in a timely manner with accuracy. * Serve our clients in a caring and empathetic manner, communicating clearly with them the decisions you make. * Reach out to employees, employers, health care providers, attorneys, and anyone else as needed to get the paperwork or information you need to make a decision. * Make sure all your claim decisions match the insurance contract and follow all laws, regulations, and procedures. What you will bring with you * Passion for helping people, especially in times of need due to illness or injury. * Your desire and ability to provide superior service and build positive relationships. * Independent thinking and decision-making skills to support payment of benefits. * Your energy to thrive in a fast-paced environment. * Drive to continuously learn, build, and grow professionally. * The ability to adapts well to change and execute on new concepts. * Insurance claims experience is not a requirement. Salary Range: $49,400 - $66,700 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Life & Disability Posting End Date: 29/01/2026

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. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: The opportunity: The Commercial Dental Representative will involve handling customer service inquiries via phone and some dental claims processing. The ideal candidate will have excellent communication skills, a strong comprehension of dental insurance, and the ability to manage both customer interactions and administrative tasks efficiently. How you will contribute: Call Center Duties: * Serve as the primary point of contact for members, dental offices, and providers via phone, email, or online inquiries. * Answer questions related to dental benefits, claims status, and general dental plan inquiries. * Resolve issues or concerns regarding claims, billing, coverage, and other customer service-related matters. * Document all customer interactions accurately in the system. * Provide clear explanations of policies, procedures, and benefits to callers. * Maintain a high level of professionalism, empathy, and customer service during all interactions. * Verify dental benefits and eligibility for members and providers. * Communicate claim status and outcomes to providers and members, including providing detailed explanations for claim outcomes. Claim Processing Duties: * May include processing some dental claims pend types in accordance with company policies and procedures. * May perform claim adjustments on a defined set of claim types * Ensure claims are accurate, complete, and comply with relevant guidelines and regulations. * Resolve any discrepancies or issues related to claim denials or rejections. This may include modifying or adjusting some claim types. * Maintain confidentiality and adhere to HIPAA guidelines when processing claims and handling confidential information. What you will bring with you: * High school diploma or equivalent * Previous experience in a call center, customer service, or claims processing environment (preferred). * Knowledge of dental insurance plans, benefits, and terminology (strongly preferred). * Excellent verbal and written communication skills. * Strong problem-solving abilities and attention to detail. * Ability to manage time effectively and handle multiple tasks simultaneously. * Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM systems or claims processing software. * Ability to maintain professionalism in a fast-paced, customer-focused environment. * Strong social and communication skills to build rapport with customers and providers. * Ability to work without supervision as well as part of a team. * Knowledge of dental terminology and procedures is highly beneficial. * Excellent organizational and multitasking abilities. * Ability to work under pressure and meet deadlines while maintaining high-quality work. Salary Range: $39,300 - $53,100 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 28/01/2026

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 opportunity: Do you enjoy organizing information and ensuring accuracy? As a Data Intake Associate for our Claims Services team, you'll play a key role in supporting Stop Loss and Health Claims. You'll be responsible for reviewing submitted reports and entering them into our system, ensuring everything is set up correctly. You'll also create claimant profiles and handle any unique data entry needs. In this role, you'll delegate less complex reporting to Data Intake Administrators. How you will contribute: * Accurately process all types of data submissions, determining if the information is a clinical summary, detailed report, correspondence, etc. * Possess proficient knowledge in the Data Intake policies and procedures * Demonstrate the ability to adapt to new business processes * Act independently or in a team when processing data submissions * Understand the importance of accuracy when processing data received and appropriately allocates resources * Identify less complex data submissions and follow up/monitor with Data Intake Administrators * Review error trends and positively support team development * Meets established metrics for production and accuracy * Communicate regularly with Data Intake Consultant to raise process concerns or escalate submissions * Work with Team Leads to identify training opportunities * Engage in development opportunities * Generate continuous improvement ideas What you will bring with you: * Ability to work with a diverse range of people * 1-3 years of claims data experience, preferably in Healthcare, Stop Loss or related product insurance field * Strong attention to detail * Exceptional accuracy * Strong written and verbal communication skills * Ability to decipher clinical summary data from detailed claims data * Self-motivated with the ability to work independently and in a team environment. * Strong interpersonal, customer service, and organizational skills. Salary Range: $38,200 - $51,600 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Health & Dental Posting End Date: 29/01/2026

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: We are looking for a passionate and highly experienced Principal Engineer to augment our team. As a Principal Engineer on the Infrastructure team you will be a technical leader within the organization and will be responsible for guiding technical strategy, driving innovation, and mentoring junior engineers. You will be overseeing projects, making high-level design decisions, and ensuring technical solutions align with business goals. Infrastructure engineers work closely with engineering teams to build and operate the services that make up various product platforms at Sun Life. Here are the key duties that our Engineers perform: * Monitoring and updating our infrastructure in Kubernetes and AWS * Identifying security gaps and looking for ways to remediate * Writing and reviewing Terraform code to manage infrastructure * Creating new dashboards and helping teams understand their services through monitoring * Documenting everything you discover in our docs repo in GitHub * Taking on new backlog items in our agile process of two-week development iterations * Mentoring engineers on operational best practices for their owner- operated services * Experience with AWS Workspaces a plus Technology we use(not exhaustive): Amazon Web Services (EC2, EKS, Lambda, RDS, etc), Terraform, CI/CD Tooling, and other modern DevOps Technologies. Python, go Lang, MySQL, OpenSearch, Redis Requirements 7+ Years of experience in a software engineering discipline Experience debugging infrastructure issues and improving reliability and performance Experience working in operations or infrastructure in a DevOps or SRE environment Willingness to participate in On-Call rotations Experience working with various AWS Technologies Proficiency with at least one language (Python, Ruby, Bash, Go, whatever works!) Proficiency with Linux Handling of security issues, with a background in the field a plus Bachelor's degree in technical discipline or equivalent experience Salary Range: $127,900 - $191,900 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: IT - Application Development Posting End Date: 23/12/2025

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: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. As an important member of the SLF U.S. Chief Risk Officer's team this role reports to either the Director or AVP, Risk Management . The team is responsible for the overall integrity of the risk management function across SLF U.S. businesses, ensuring that these functions operate in compliance with the Enterprise Risk Management framework, associated Policies and Operating Guidelines and effectively comply with external regulatory requirements. In a second line of defense role, the Specialist, Operational Risk Management for SLF U.S. is expected to provide technical risk expertise and effective input, review and challenge over U.S.'s operational risk program design and execution, while positively supporting a continuous improvement, high performance culture. In doing so, the incumbent will need to effectively partner with corporate program owners and lead our Business Unit partners in the operationalization of SLF U.S.'s Operational Risk Management and Governance program. Major Accountabilities * Design and implement new US-wide risk management programs, practices, and processes with immediate focus on OSFI's new B-10 (Third Party Management) and upcoming E-21 (Operational Resiliency) requirements. * Assess risk and control effectiveness across key operational risks, identify and prioritize opportunities to improve risk management processes and capabilities. * Manage Risk rollout of new risk solutions by identifying impact to US BUs and tailoring solutions where appropriate. * Provide technical risk expertise and effective input, review and challenge over U.S.'s operational risk program design and execution, while positively supporting a continuous improvement, high performance culture specifically around Third Party and Operational Resiliency frameworks including risk management standards and best practices. * Maintain strong working relationships with all business partners and develop recommendations on effective control design and operational risk management best practices. * Works directly with various functions such as finance, compliance, legal, actuarial etc. to ensure reliable and relevant communication and reporting to facilitate effective monitoring and challenge. * Monitors business practices to ensure gaps/opportunities are identified, appropriately communicated and resolved in a timely manner. * Thoroughly supports the SLF U.S. Risk Management team with all scheduled and ad hoc deliverables. Required Competencies * College degree with 4+ years of financial service industry experience and 1 or more years of risk management exposure including exposure to using and/or deploying operational risk tools and processes in a financial institution * Positive attitude, a natural willingness to support the team and a proven ability to develop and cultivate strong business relationships with suppliers and customers * Excellent communication skills (written, verbal, presentation) * Demonstrated ability to develop and execute innovative pragmatic solutions to complex problems * Successful experience interpreting policy or regulatory requirements that lead to the execution of effective processes that support compliance with the requirements * Ability to demonstrate a solid working knowledge of effective project management and successful experiences leading/managing change * Strong working knowledge and hands on experience with MS Office products with evidence of a history of continuous improvement Other Assets and General Information * Knowledge of the insurance industry products and services * Knowledge of the health care industry * Experience with Archer, ServiceNow, JIRA * Prior exposure to senior leadership through face-to-face interactions, presentation and/or meeting reporting expectations * Occasional travel to Toronto may be required Salary Range: $82,700 - $124,100 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Risk Management Posting End Date: 12/12/2025

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. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. 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 Director, Provider Engagement (PE) is responsible for overall provider network experience, performance and compliance. The Director strategically analyzes, manages, and reports on the provider network and related activities regarding all programs and products including Medicaid, Medicare Advantage, Marketplace, and Commercial (and any blend of products, e.g., dual eligible), and is responsible for the P&L (cost of care and loss ratio) of the network(s). These duties include but are not limited to the development and oversight of access, cost, and quality measurements to ensure network compliance, client satisfaction, sales support, optimized provider performance, and improved outcomes. The Director maintains ultimate oversight of as signed provider engagement staff, and therefore provides clear direction, ongoing education to include professional development, and daily activity monitoring tools for reporting purposes. This position interfaces and collaborates with multiple internal operational areas, as well as face to face and virtually with clients, representing the organization as the network Subject Matter Expert. How you will contribute: Oversee the development and execution of, as well as provide support and direction to, the Provider Engagement team in support of all products Own applicable P&Ps, SOPs, SLAs and ensure compliance with them Develop innovative, competitive, cost effective and quality networks for all products in support of new sales and existing client retention Champion provider adoption/utilization of digital platforms/tools Provide support and direction to the team to ensure appropriate allocation of resources to meet multiple deliverables and participate in a wide range of network focused initiatives Establish provider network targets, recruit/contract new providers and work with existing providers to move them along the cost and quality continuum. Develop strategies to increase member access, preventive care, increase quality and outcomes, while decreasing costs Collaborate with other areas to ensure members assignments and dental home programs meet cost, quality, access and capacity goals Review and submit for approval special deal requests, retroactive adjustments, reimbursement, and contract exceptions Use available tools and resources to conduct Network Adequacy, Compliance, Validation, Accuracy, Appointment Availability, and other related activities as required/needed Collaborate with other enterprise functions to drive improvements in Provider Data Integrity Support and assist credentialing to obtain missing credentialing information Collaborate with Marketing, Communications, Governmental Relations, Clinical and Client teams to position the organization favorably and achieve desired business results Partner in responding to Request for Proposals (RFPs) to illustrate network strategies as a competitive advantage to grow new business and retain existing business Strategize with analytics and other teams on best approaches for collection, evaluation, compilation, and dissemination of data consistent with requirements and goals Assess environmental trends, needs, and opportunities to inform decision makers internally and externally on opportunities to execute provider programs that achieve annual business goals. Monitor portfolio of contract operations ensuring successful execution of operating plan objectives and achievement of outcome/success measures for Providers Develop and manage department budgets and resources consistent with short and long term financial and operational goals Proactively research competitors' provider panels; fee schedule and reimbursement methodologies; policies and procedures; tools and technology; processes, etc.; and make recommendations to meet or exceed competition Build and maintain relationships with leaders of local dental associations, FQHCs, Public Health, dental schools, large group practices and other key provider stakeholders Collaborate with Client team to meet network needs and participate in on-site meetings, virtual meetings, conference calls, and day-to-day interaction with clients, prospective clients, organized dentistry, and other key industry stakeholders Direct team on the appropriate preparation of client audits, CAPs, and ad hoc report documents Oversee other engagement activities and projects related to the provider network Ensure internal and external network reports are prepared and delivered accurately and timely Develop solutions to improve participating provider satisfaction and innovative approaches to advance recruitment strategies to attract providers to join all lines of business Develop and maintain provider reimbursement models in line with cost of care goals, market research and profitability/loss ratio objectives, using effective negotiating strategies Draft Provider Agreements, Restated Agreements, Amendments, and other communications as needed and by working with legal and marketing Organize, assess and problem solve workflows with other departments to ensure efficient, timely and accurate outcomes Coordinate and implement appropriate performance management strategies for team members to include: Assist in the hiring process, including interviewing candidates Assist, train and motivate team members to Evaluate and measure effectiveness of team members Assist in preparation of performance and wage evaluations in accordance to company policy Responsible for attendance and company approved time off for team members Participate in the determination and implementation of Performance Improvement Plans and performance management initiatives. Design reports to effectively manage team members Train and coach team to be knowledgeable in all aspects of their role and responsibilities Other duties as assigned. What you will bring with you: Bachelors degree in business, healthcare administration, or related/applicable degrees, e.g., marketing, communications, finance, etc. Ten (10) years of related experience in management with experience in business or healthcare administration, finance or another related field preferred Ten (10) years of demonstrated leadership in the development, monitoring, and successful implementation of organizational strategy Ten (10) years of experience in client and provider relationship management Five (5) years of experience in process or operational management The ability to think analytically, decipher and understand complex data The ability to design and manage complex organizational policies and communications and obtain corporate and divisional cross functional support The ability to design and manage complex organizational policies and communications Ability to manage multiple projects simultaneously Comprehensive knowledge of the healthcare industry and payment methodologies, including Value Based or Alternative Payment Models Demonstrated skill in recruiting, training, coaching, managing, motivating and developing staff Demonstrated skill in financial and budget management Executive-level written and verbal communication, presentation, interaction and persuasive skills Demonstrated skill in high-level decision-making and problem-solving Proficiency with general computer software (Excel Word, and PowerPoint) Ability to work in a fast-paced, results-driven environment Salary: Salary Range: $129,800 - $194,700 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Sales - Client Relationship Management Posting End Date: 20/10/2025

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: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: In this role, you will perform executive administrative functions for the Sun Life U.S. Chief Actuary & Chief Risk Officer and the leadership team. The duties include handling of sensitive and confidential correspondence, meeting scheduling and preparation, Power Point presentations, and travel arrangements. This position interacts with other executive officers, human resources, legal, corporate, and other management personnel within the organization. You will act independently and with limited supervision to maintain administrative processes. You will maintain a professional demeanor and flexibility as job demands require. You will utilize your ability to manage multiple projects, deadlines, and priorities that come with the support of the Executive. How you will contribute: Professional problem solver Dogged resourcefulness and a resolve to get things done. Stays calm under pressure and is able to deliver when needed in time sensitive situations Tenacious prioritization that limits distractions and ensures the Senior Vice President's (SVP) focus is on the most pressing and highest priority items. Willing to push back and uses sound judgement to figure out what warrants attention, what should be delegated and what requests should be deferred Impeccable organization capabilities. Practices strategic multi-tasking, ensuring various priorities are moving forward without sacrificing quality. Support SVP with events and meetings for the US Actuarial Community, as well as Kansas City office events Communications Ninja Top-notch verbal and writing skills with the ability to draft communications on behalf of the SVP. Knack for understanding and influencing others through written and verbal communications. Serves as a spokesperson for the SVP through polished emails, dynamic presentations, and effective interpersonal interactions Technical savvy with strong proficiency in presentation technology and software Analytical mindset that quickly sums up the situation, gathers the necessary info, asks the right questions and acts decisively Networking prowess to build relationships at all levels across the company to understand the ins and outs of the business and bring that perspective to bear in making decisions Trusted confidant Ironclad discretion in handling confidential information, navigates sensitive situations with professionalism, diplomacy and tact Supernatural ability to anticipate needs, seeing in advance what is needed and planning accordingly Self-confident with a sense of humor. Practices optimism - keeps things in perspective and understands the balance of being candid but kind What you will bring with you: 5+ years of experience in an executive level support role Strong consultation, communication and interpersonal skills with the ability to interact with a wide range of individuals in different situations requiring tact, diplomacy, judgment, discretion and relationship building Strong organizational and time management skills with the ability to multitask and work in a fast-paced and constantly changing environment Strong collaboration skills and ability to partner with others get to work done Takes personal responsibility for delivering quality service Energetic self-starter who is able to take initiative, work with limited supervision and has strong attention to detail Identifies improvement ideas and readily implements new work processes and practices Resourceful at problem solving Ability to work well under pressure High level of proficiency across the Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, Teams), and the ability to quickly learn enterprise applications Knowledge of Service Now, Workday, Ariba and Concur is a plus Salary Range: $70,600 - $95,300 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Administrative Services Posting End Date: 02/11/2025

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: Sun Life Financial is seeking an experienced and detail-oriented Associate Director of NAIC Financial Reporting to manage our Life regulatory reporting processes. This key position will oversee the production of critical financial filings and manage a team of skilled professionals. This role will report to the Director of NAIC Financial Reporting. Key Responsibilities * Manage and lead a team of 4 financial reporting professionals in the NAIC reporting department * Oversee the production and timely submission of: * 2 separate account filings (green books) * 6 life filings (blue books) * Ensure accuracy, completeness, and compliance of regulatory filings * Develop and implement strategies to improve reporting processes and efficiency * Collaborate effectively with cross-functional teams to gather necessary data and information * Stay current with NAIC reporting requirements and industry best practices * Provide guidance and expertise on complex accounting and reporting issues * Represent Sun Life in interactions with regulators and auditors Qualifications * Minimum of 7 years of experience in insurance accounting and regulatory reporting * Bachelor's degree in Accounting, Finance, or a related field * CPA designation preferred * In-depth knowledge of NAIC statutory accounting principles * Strong leadership and team management skills * Excellent analytical and problem-solving abilities * Superior attention to detail and accuracy * Ability to manage multiple projects and meet strict deadlines * Effective communication skills, both written and verbal * Proficiency in Microsoft Office suite and financial reporting software Salary Range: $112,300 - $168,500 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Finance Posting End Date: 24/12/2025

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. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our leaders are expected to foster connection and teamwork by being present in the office 2 to 3 days per week. The opportunity: Provider Enrollment and Credentialing Specialist reviews all aspects of the Initial/ Re-Apply Credentialing, Re-credentialing, privileging and overseeing the onboarding process for all incoming providers. Primary responsibilities include verifying all the credentialing criteria for practitioners that have applied to the network, including follow up with practitioners as needed to obtain information How you will contribute: * Verify potential and existing provider's licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification. * Contract Validation: Review contract and application for completeness. * Review National Practitioners Data Bank for adverse charges pending or filed against Provider. * Review federal and/ or state OIG and SAM report for exclusion from the Medicaid or Medicare program. * Review state Medicare OPT Out report for exclusion from the Medicare program. * Monitors and reports provider complaints and utilization management reports. * Assist with scheduling site reviews. * Enroll the provider into payment system - Windward. * Enter all provider information into credentialing database - Cactus. * Maintain the integrity of the provider information in Windward and Cactus. * Ensures credentialing file is in order with any issues flagged for committee. * Meet required turnaround time and accuracy rate. * Assist with other duties as assigned. * Assist management in the implementation of department process improvements. * Assist with the ongoing NCQA certification activities. * Represent DentaQuest in a professional manner at all times while communicating with internal and external requestors. * Maintains confidentiality of the credentialing information. * Other duties as needed or required. What you will bring with you: * High School Diploma or equivalent. * 1 year job related experience * Previous experience working with files or the collection and coordination of data preferred. * Knowledge of Dental terminology preferred. * Good interpersonal skills. * Ability to work independently. * Excellent oral and written communication skills. * Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems). * Ability to learn new software programs quickly. * Ability to prioritize and organize multiple tasks. * Ability to remain organized with multiple interruptions. * Good customer service and problem resolution skills. * Ability to navigate websites needed for credentialing purposes. * Ability to adapt to a constantly changing environment. * Ability to work in excess of 40 hours in a week. * Required to attend additional training as requested/deemed necessary. * Previous experience working with files or the collection and coordination of data preferred. * Knowledge of Dental terminology preferred. * Incumbent must be able to communicate effectively. * Manual dexterity and sitting is required in carrying out position duties. Salary: $39,300 - 53,100 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 25/12/2025

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: Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: The Complaints & Grievances Specialist II handles for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements. In addition, responsible for the assembly and preparation of Maximus packets, State Fair Hearing packets as well as coordination and participation in State Fair Hearings. Accountable for daily interaction with assigned market/client contacts, as well as various internal departments. This position also ensures that all mandated turnaround times are met as well as required processes and workflows are adhered to. How you will contribute: * Investigate and resolve complaints and grievances in accordance with State and/or Plan guidelines. Ensure all components of the grievance/complaint are researched and addressed. Complaints/grievances that this role is responsible for include: * Member Complaints/Grievances * Member Complaints/Grievances submitted by plan (when DQ is secondary) * Provider Complaint * SDOH (State Department of Health) complaints * DOI (Department of Insurance) complaints * BBB (Better Business Bureau) complaints * Executive complaints (complaints addressed to executives of DentaQuest) * Any other complaints/grievance submitted as part of the formal grievance process * Prepare State Fair Hearing packets and coordinate scheduling State Fair Hearing reviews * Assemble necessary information for the plan so they may appropriately investigate member appeals/complaints when we are not delegated. * Monitor shared mailboxes and department e-mails to ensure cases are properly entered into department tracking system, and that requests are acknowledged and resolved timely and accurately. Manage workflow to meet department, Plan, State, and company goals and deadlines. * Comply with and resolve proof of compliance and directives. * Contact involved provider office to obtain information to properly review the case. Document provider's/staff's perception of the member's concerns / issues. * Document all complaints/grievances/appeals in department tracking system What you will bring with you: * High School Diploma or GED required. * 1 year of C&G experience with demonstrated success in C&G Specialist I or 2 years' experience in claims, customer service, provider network or another operational function. * Proficient with general computer software including Microsoft Excel, Word and Outlook. * Excellent verbal, written, interpersonal, organizational and communication skills. * Excellent research skills with ability to identify underlying issue(s) not articulated * Ability to remain calm and focused in a high pressure/high workload environment * Ability to work in a high stress environment. * Ability to prioritize and organize multiple tasks with tight deadlines. * Ability to remain organized with multiple interruptions. * Ability to work overtime as needed or required to meet business objectives. Salary: $49,200 - 66,400 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 08/01/2026

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: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Position Summary The Director Supplemental Health Pricing will lead the pricing team; responsible for the Supplemental Health product pillar (Critical Illness, Cancer, Personal Accident and Hospital Indemnity). The team provides actuarial and financial analysis in support of a business with strong growth objectives. The role reports to the AVP, Group Pricing within the U.S. Employee Benefits division. The larger Group Pricing team is also responsibility for Life & Disability products. The role works closely with other functional teams, including Product, Underwriting, Distribution, Claims and Finance, as well as peers on the Group Pricing and Dental/Vision teams. How you will contribute: Planning, directing and managing Life & Disability product pricing to support meeting Employee Benefits profit and growth objectives. Pricing: Plan and direct product pricing for Supplemental Health products. Keep pricing responsive to market trends and actively engage product management to keep products competitively positioned in the market. Direct regular experience studies to update manual rates and other pricing formulas. Develop and monitor new business and renewal pricing programs. Support new product initiatives, including product development, pricing and governance. Profitability Management: Evaluate and report product financial performance, communicating to senior management and other functional areas. Develop data, metrics and processes to improve financial management of the products. Provide analysis to develop a deep understanding of macro and micro drivers impacting financial results. Monitor market and economic conditions to allow identification of issues/risks on a timely basis. Enable management to react proactively to keep products competitively positioned in the market. Provide input to Business and Strategic Plan forecasts. Leadership & Collaboration: Provide actuarial and financial support to the Group Benefits organization. Collaborate with Product, Underwriting, Finance, Valuation and other teams to set strategic direction. Recruit and develop a high-performance team, providing leadership and coaching to prepare staff for future advancement. What you will bring with you: FSA and/or FCIA with 8+ years of relevant work experience, including pricing or related work for Supplemental Health products. Active membership in American Academy of Actuaries. Bachelor's degree in Actuarial Science, Mathematics, Statistics or another field requiring rigorous mathematical analysis. Strong communication, interpersonal and influencing skills. Intellectually curious and driven to understand underlying factors impacting results. Ability to apply advanced financial concepts and capabilities across business processes. $ 153,400 - $230,100 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Actuarial Posting End Date: 28/10/2025

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 opportunity: The Absence & Disability Consultant works with employers, employees, and health care providers to administer an integrated Family and Medical Leave Act (FMLA) rights and responsibilities and Short-Term Disability claim. Provides advice and counsel regarding leave administration and effectively coordinates all cases/claims in compliance with the FMLA and all related employment laws. Responsible for the professional management of both routine and complex claims for Group Short Term Disability while working both independently and in a team to ensure superior service to policyholders and claimants. Reviews claims and makes final determination for admittance or denial. Approves payment of claims and Company liability within established limits. How you will contribute: * Interprets and administers leave programs and policies in accordance with the applicable federal and state employment laws (FMLA, ADA, USERRA, Pregnancy Discrimination Act, etc.). * Facilitation and engagement in interactive dialogue with employees, medical professionals, supervisors, and HR business partners to assist employees. * Documentation of the request for absence including detailed points of contact and actions taken to coordinate the accommodation request. * Reviews claim payments within established limits and/or reviews recommendations made by medical resources to determine proper disposition of claims. * Sets claim action plan to ensure that determinations are adjudicated in a timely, accurate, and efficient manner. * Interprets contracts and ensures consistent, fair claims practices and adherence to appropriate laws, regulations, and procedures. * Obtains backup documentation, as necessary, to substantiate claims or to provide service by communicating via telephone with agents, employers (policyholders), claimants, hospitals, physicians, attorneys, and other resources. * May handle other related duties such as providing technical assistance to other Claims staff or assisting in special projects or assignments. * Protect and maintain personal health information with a high level of confidentiality abiding by Sun Life procedures and by HIPPA rules and regulations. What you will bring with you: * Ability to work with a diverse range of people. * 1+ years of customer, absence, and claims services experience * Communicating effectively and professionally with a wide variety of both internal and external Sun Life business partners, peers, and resources. * Effective ability to use legal resources and demonstrate a proven ability to comprehend and interpret legal and medical terminology to make final decisions to approve or further investigate claims. * Attention to detail with documentation, reporting and communication. * Demonstration of strong mathematical skills for calculations and adjustment of claim payments. * Facilitation skills in a variety of circumstances and with a wide variety of input. Ability to influence and teach. * Self-directed with an ability to work independently and make independent judgments and decisions. * Strong organizational skills, including the ability to prioritize work and multi-task * Strong research, analytical, critical thinking, problem solving skills and decision-making skills. * Ability and desire to work in a fast-paced, service-oriented environment. * Excellent verbal communication skills, with the ability to be both pleasant and professional. * Ability to work professionally and effectively with co-workers, clients, claimants, vendors, and others with whom Sun Life does business. * Strong organizational skills, including the ability to prioritize work and multi-task. * Strong verbal and written communication skills. * Strong interpersonal and customer service skills. * Ability to initiate and prioritize regular work duties and projects. * Detail oriented, organized, the ability to multi-task, and strong time management skills. Salary Range: $56,100 - $84,200 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Absence / Leave Management Posting End Date: 30/01/2026

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 opportunity: The Client Support Liaison (CSL) is responsible for the group claims client facing experience for the employer segment less than 2000 enrolled employees. The CSL represents group claims as the primary point of contact for the Client Relationship Executive (CRE) and the Employer for Group Claims Client Support. The CSL will proactively seek opportunities to increase client satisfaction with their group benefits program and will be the lead subject matter expert responding to client escalations, developing and reporting on service recovery plans, providing positive trending analysis and completing claim segment reviews to assess gaps, opportunities and training needs. The CSL is a Trusted Advisor to the CRE, employer and broker, and educates and trains on group benefit claim practices. The CSL will respond to the client's group claim needs through strong internal collaboration and partnerships. How you will contribute: Collaborates with SL personnel, including Group Benefit Claim Leaders, Internal Technology partners, CRE, Client Advocate (CA) and sales in order to meet client Group Claims expectations. Proactively provide solutions while meeting client experience objectives and managing client expectations Establishes and maintains excellent working relationships with Employers/Brokers for their absence/ADA, disability, life and supplemental health benefit plans by providing end to end claim experience solutions, education and service. Primary point of contact/response for CRE/CA and Client for Group Claim inquiries related to program performance, reporting discrepancies, issue resolution and service recovery efforts. Proactively assesses, clarifies, and validates client claim needs on an ongoing basis. Uses client needs to propose innovative solutions to address unique needs (e.g. creation of custom reports.) Develops and maintains excellent working relationships with internal service departments to oversee resolution of issues, identification of root cause and participation in creation of solutions Partner with Implementation Consultant to ensure a seamless implementation of Group Claims products in which all questions and concerns can be addressed proactively on the front end; plays a key role in new account audits (pre/post effective date - systems, processes, talent) Uses internal tools to create and manage client special handling instructions and ensures all relevant client requirements are documented Conducts regular case reviews with claim reconciliation to assess the overall Client claims experience and provides feedback to Internal Partners to minimize areas of error, maximize automation and heighten Client satisfaction. Has the ability to adjudicate claim if immediate action is required. Utilizes data to influence trends for business cases and efficiencies. Participates in finalist and stewardship presentations, representing the Sun Life group claims value story in a consistent and confident manner; reviews group benefits claims experience information and other relevant client information to make recommendations and offers insights on their benefits program Acts as the liaison for clients and internal teams; displays active listening skills and bridge relationships between Clients and Home Office partners to lead the team to find creative solutions in problem solving, sharing process enhancements and innovations being delivered in the Claims Utilizes/updates administrative systems/platforms when applicable Conducts review of Performance Guarantees to ensure results delivered to client are accurate. Partners with internal resources to share areas of opportunity to drive improvement in the Client experience and reinforce positive outcomes. Conducts voice of the client surveys analysis to champion initiatives that will improve ration of problem free experiences. Adhere to all corporate policies including those related to travel expenses Travel Required: 10% of time depending on the Client block What you will bring with you: Displays integrity through transparency, honest dealings, predictable reactions and well-controlled emotions. Demonstrate the ability to be fair and consistent in all professional dealings. Regularly acknowledge each team member's contributions and successes to the team. Takes ownership of action and thought. Understands value in partnership and displays a strong understanding of the culture of Sun Life, of the market, their clients and brokers Relationship management skills; demonstrated ability to build and foster productive and healthy relationships with sales, service, group claims personnel and other internal home office partners Addresses conflict by working with others to resolve differences in a professional and productive manner Foster strong relationships based on trust, open and honest dialogue Maintain and represent the integrity of our organization while balancing the needs of the client Demonstrates Personal Value/Personal Value Statement Ability to independently organize and prioritize daily/weekly working structure to meet business activity goals and Client needs Ability to communicate to Clients on how to most effectively work with Sun Life to the best overall claims experience Strong presentation, interpersonal and communication skills Strong negotiation and influencing skills Effectively develop and deliver an elevator pitch: Company, Product and Self Effective listening skills; note taking, recording data; active listening skills Proven consultation and client relationship skills Demonstrates resilience by reacting positively to changes and maintains poise, focus and flexibility when encountering difficulties or obstacles Acts with a Client Lens; demonstrates drive for results Adept at project management and multi-tasking Superior Collaboration Skills Strong analytical, mathematical and problem solving skills; 1-3 years Absence and ADA experience; Other Employee Benefit industry and/or knowledge of Group Benefit Services, College degree preferred Basic understanding of competitor products Salary Range: $54,900 - $82,400 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Life & Disability Posting End Date: 30/10/2025

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. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: The opportunity: The Commercial Dental Representative will involve handling customer service inquiries via phone and some dental claims processing. The ideal candidate will have excellent communication skills, a strong comprehension of dental insurance, and the ability to manage both customer interactions and administrative tasks efficiently. How you will contribute: Call Center Duties: Serve as the primary point of contact for members, dental offices, and providers via phone, email, or online inquiries. Answer questions related to dental benefits, claims status, and general dental plan inquiries. Resolve issues or concerns regarding claims, billing, coverage, and other customer service-related matters. Document all customer interactions accurately in the system. Provide clear explanations of policies, procedures, and benefits to callers. Maintain a high level of professionalism, empathy, and customer service during all interactions. Verify dental benefits and eligibility for members and providers. Communicate claim status and outcomes to providers and members, including providing detailed explanations for claim outcomes. Claim Processing Duties: May include processing some dental claims pend types in accordance with company policies and procedures. May perform claim adjustments on a defined set of claim types Ensure claims are accurate, complete, and comply with relevant guidelines and regulations. Resolve any discrepancies or issues related to claim denials or rejections. This may include modifying or adjusting some claim types. Maintain confidentiality and adhere to HIPAA guidelines when processing claims and handling confidential information. What you will bring with you: High school diploma or equivalent Previous experience in a call center, customer service, or claims processing environment (preferred). Knowledge of dental insurance plans, benefits, and terminology (strongly preferred). Excellent verbal and written communication skills. Strong problem-solving abilities and attention to detail. Ability to manage time effectively and handle multiple tasks simultaneously. Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM systems or claims processing software. Ability to maintain professionalism in a fast-paced, customer-focused environment. Strong social and communication skills to build rapport with customers and providers. Ability to work without supervision as well as part of a team. Knowledge of dental terminology and procedures is highly beneficial. Excellent organizational and multitasking abilities. Ability to work under pressure and meet deadlines while maintaining high-quality work. Salary Range: $39,300 - $53,100 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Customer Service / Operations Posting End Date: 28/01/2026

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: 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. The opportunity: We are seeking a highly organized and detail-oriented Senior Consultant, Supplemental Health Claims. In this role you will be responsible for processing and adjudicating supplemental health insurance claims in accordance with company policies and regulatory guidelines. Your primary objective will be to ensure accurate and timely claim payments, while providing exceptional customer service to policyholders. In addition, you will serve as a leader and go to resource for the team to ensure accuracy and the highest level of service for Clients. How you will contribute: * Review and evaluate supplemental health insurance claims for eligibility, completeness, and accuracy. * Verify policy information, coverage details, and any applicable endorsements or riders. * Adjudicate claims using established guidelines and company policies. * Determine the accuracy of medical coding, diagnostic information, and procedure documentation. * Request any necessary additional information or documentation from policyholders or healthcare providers. * Collaborate with the claims team to investigate and resolve any complex or disputed claims. * Ensure that claims are processed and paid in compliance with industry regulations and internal procedures. * Update claim status and maintain detailed and accurate records of all claim activities. * Communicate claim decisions, payment details, and any additional requirements to policyholders and healthcare providers. * Respond to inquiries and provide exceptional customer service to resolve any claim-related issues or concerns. * Stay updated on industry trends, regulatory changes, and best practices in supplemental health insurance claims processing. * Perform quality assurance reviews and mentor other Claims Consultants by providing feedback and identifying development opportunities with staff and management. * Evaluate current processes for efficiency and effectiveness * Provide manager support by assisting with decision making and problem-solving What you will bring with you: * Ability to work with a diverse range of people. * 5+ years of experience in supplemental health insurance claims processing or medical billing. * Strong knowledge of medical terminology, coding systems (e.g., ICD-10, CPT), and claim adjudication processes. * Familiarity with healthcare industry regulations, including HIPAA and state insurance laws. * Excellent analytical skills and attention to detail to accurately review and evaluate claim information. * Proficient in using claims management software and other computer applications. * Exceptional organizational and time management skills to prioritize workload and meet deadlines. * Excellent written and verbal communication skills to effectively interact with policyholders, providers, and internal stakeholders. * Ability to work independently and as part of a team, demonstrating flexibility and adaptability in a fast-paced environment. * Strong problem-solving skills, with the ability to resolve claim-related issues effectively and efficiently. * Commitment to delivering outstanding customer service and maintaining high levels of professionalism. * Ability to attain and maintain appropriate TPA licenses in accordance with the Claims Licensing Policy Salary: $71,100-$106,700 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Life & Disability Posting End Date: 31/12/2025

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: 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. The opportunity: The Associate Director of Complementary and Integrative Medicine (CIM) provides expert medical consultation, strategic direction, and program leadership for all CIM-related activities involving PinnaleCare members. This role combines clinical expertise with strategic, operational, and research oversight to deliver whole-person, patient-centered care. The Associate Director will guide the design, growth, and integration of CIM programs that align with PinnacleCare's mission, ensuring quality, innovation, and value for members. How you will contribute: * Establish the overall vision, mission, and strategic goals for PinnacleCare's CIM program. * Lead the development and implementation of a multi-year strategic plan to expand CIM services, identify innovative opportunities, and strengthen partnerships that enhance member value. * Serve as PinnaleCare's subject matter expert on complementary and integrative medicine, providing direct clinical consultation and guidance to health advisors and internal teams. * Collaborate with the Chief Medical Officer (CMO) and organizational leadership to expand and manage the CIM Medical Advisory Board and provider referral network. * Oversee program operations, productivity, and budget performance to ensure sustainability and measurable impact. * Develop strategies to advance the visibility and increase usage of CIM services across the organization. * Collaborate with the Research and Medical Intelligence teams in developing evidence-based reports, literature reviews, and data summaries on CIM topics. * Work with the Director of Research to identify qualified members of the CIM clinical community to produce high level research reports for internal and external distribution * Maintain and enhance the CIM clinician and facility database to ensure it remains current, credible, and aligned with evidence-based practice standards. * Participate in complex case reviews and facilitate referrals to qualified CIM clinicians and specialists within the network. * Develop and deliver training and professional development programs on CIM approaches, modalities, and evidence-based practices for internal staff. * Collaborate with Marketing and Communications to highlight CIM program value, outcomes, and innovations in internal and external publications. * Represent the CIM program at internal meetings, external conferences, and industry events to build awareness and credibility. * Support Membership Development and Relationship Management teams with CIM-related education, resources and client consultations. * Provide operational oversight for all CIM activities to ensure high-quality member experience and alignment with PinnacleCare standards. * Build and maintain relationship with CIM clinicians, vendors, and strategic partners to support service excellence and continuity of care. * Identify and implement process improvements to enhance efficiency, member satisfaction, and cost effectiveness. * Resolve clinical and operational issues related to CIM services and referrals in collaboration with internal and external partners. What you will bring with you: * Ability to work with a diverse range of people * Doctor of Naturopathic Medicine (ND) degree from an accredited naturopathic medical college * Board certification by the North American Board of Naturopathic Examiners * Demonstrated experience in program leadership, strategic planning and service expansion within the field of integrative medicine * Strong clinical foundation and working knowledge of Complementary, Alternative and Integrative modalities * Excellent interpersonal, written and verbal communication skills with the ability to collaborate effectively across disciplines * Proven ability to balance clinical quality with financial and operational priorities * Proficiency with Microsoft office Suite * Strong problem-solving, organizational and analytical skills Salary: $109,400-$164,100 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Medical Services Posting End Date: 11/01/2026

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. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our leaders are expected to foster connection and teamwork by being present in the office 2 to 3 days per week. The opportunity: Provider Enrollment and Credentialing Specialist reviews all aspects of the Initial/ Re-Apply Credentialing, Re-credentialing, privileging and overseeing the onboarding process for all incoming providers. Primary responsibilities include verifying all the credentialing criteria for practitioners that have applied to the network, including follow up with practitioners as needed to obtain information How you will contribute: Verify potential and existing provider's licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification. Contract Validation: Review contract and application for completeness. Review National Practitioners Data Bank for adverse charges pending or filed against Provider. Review federal and/ or state OIG and SAM report for exclusion from the Medicaid or Medicare program. Review state Medicare OPT Out report for exclusion from the Medicare program. Monitors and reports provider complaints and utilization management reports. Assist with scheduling site reviews. Enroll the provider into payment system - Windward. Enter all provider information into credentialing database - Cactus. Maintain the integrity of the provider information in Windward and Cactus. Ensures credentialing file is in order with any issues flagged for committee. Meet required turnaround time and accuracy rate. Assist with other duties as assigned. Assist management in the implementation of department process improvements. Assist with the ongoing NCQA certification activities. Represent DentaQuest in a professional manner at all times while communicating with internal and external requestors. Maintains confidentiality of the credentialing information. Other duties as needed or required. What you will bring with you: High School Diploma or equivalent. 1 year job related experience Previous experience working with files or the collection and coordination of data preferred. Knowledge of Dental terminology preferred. Good interpersonal skills. Ability to work independently. Excellent oral and written communication skills. Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems). Ability to learn new software programs quickly. Ability to prioritize and organize multiple tasks. Ability to remain organized with multiple interruptions. Good customer service and problem resolution skills. Ability to navigate websites needed for credentialing purposes. Ability to adapt to a constantly changing environment. Ability to work in excess of 40 hours in a week. Required to attend additional training as requested/deemed necessary. Previous experience working with files or the collection and coordination of data preferred. Knowledge of Dental terminology preferred. Incumbent must be able to communicate effectively. Manual dexterity and sitting is required in carrying out position duties. Salary: $39,300 - 53,100 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. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! 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. Life is brighter when you work at Sun Life 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 match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Customer Service / Operations Posting End Date: 25/12/2025