Sun Life jobs in Milwaukee, WI - 20 jobs

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: This position is responsible for reviewing claims, interpreting and comparing contracts, dispersing reimbursement, and ensuring that all claims contain the required documentation to support the Stop Loss claim determination. They are responsible for customer service, and the financial risk associated with an assigned block of Stop Loss claims. This requires applying the appropriate contractual provisions; plan specifications of the underlying plan document; professional case management resources; and claims practices, procedures and protocols to the medical facts of each claim to decide on reimbursement or denial of a claim. The incumbent is accountable for developing, coordinating and implementing a plan of action for each claim accepted to ensure it is managed effectively and all cost containment initiatives are implemented in conjunction with the clinical resources. How you will contribute: * Determine, on a timely basis, the eligibility of assigned claim by applying the appropriate contractual provisions to the medical facts and specifications of the claim * The ability to apply the appropriate contractual provisions (both from the underlying plan of the policyholder as well as the Sun Life contract) especially with regard to eligibility and exclusions * Maintain claim block and meet departmental production and quality metrics * An awareness of industry claim practices * Prepare written rationale of claim decision based on review of the contractual provisions and plan specifications and the analysis of medical records * Knowledge of legal risk and regulatory/statutory guidelines HIPPA, privacy, Affordable Health Care Act, etc. * Understand where, when and how professional resources both internal and external, e.g. medical, investigative and legal can add value to the process * Establish cooperative and productive relationships with professional resources What you will bring with you: * Bachelor's degree preferred * A minimum of three to five years' experience processing first dollar medical claims or stop loss claim processing * Demonstrated ability to work as part of a cohesive team * Strong written and verbal communication skills * Knowledge of Stop Loss Claims and Stop Loss industry preferred * Demonstrated success in negotiation, persuasion, and solutions-based underwriting * Ability to work in a fast-paced environment; flexibility to handle multiple priorities while maintaining a high level of professionalism * Overall knowledge of health care industry * Proficiency using the Microsoft Office suite of products * Ability to travel 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: 30/01/2026

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. : 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. Come join a fantastic team in a fast paced and exciting work environment! How you will contribute: * Evaluate and determine if claimant is a suitable candidate for return to work or a rehabilitation program * Counsel/advise claimants in vocational, motivational, and personal areas as well as in policy requirements and incentives regarding return to work (RTW) and rehabilitation services * Maintain close, frequent contact with the claimant to provide encouragement and support throughout the RTW and rehabilitation process * Negotiate modified jobs for claimants who cannot perform all duties of a job as outlined in standard job descriptions either with the Policyholder or a new employer * Identify accommodations, including assistive devices, that facilitate the RTW process * Act as a liaison between the claims and other resources and obtain, coordinate, and disseminate the information necessary to enable the claimant to work, this may include locating sources of funding or referral to state and/or federal agencies * Identify occupations and their material duties and physical demands utilizing a variety of government and internal resources which may include contact with the claimant and employer * Perform transferable skills analyses/reviews to assess ability to perform alternate work * Support claims team by providing vocational assessments and recommendations regarding disability claimants * Utilize outside vendors to support return to work services with claimants; manage referrals, expenses, reports, and setting ongoing direction * Maintain claim file through up-to-date documentation of telephone calls and vocational rehabilitation activity as required by established claim procedures * Participate in claim discussion and file review to assist with claim management action items and identify potential for vocational rehabilitation/ intervention * Prepare monthly reports concerning vocational consulting activity and impact on return to work * Participate in educational seminars, conferences, client presentations and association meetings to increase knowledge of the vocational rehabilitation field What you will bring with you: * Ability to work independently and with a diverse range of people * Master's degree in vocational Rehabilitation Counseling (or related field) and CRC certification required * 3-5 years' experience in the vocational rehabilitation field required * Experience in the disability insurance industry preferred * Demonstrated experience and success providing job placement services * Strong knowledge of vocational return to work protocols * Strong computer skills, proficient in PC environment such as: OASYS, ERI, O*Net, Outlook, MS Word, Excel, and email systems * Excellent communication skills, both written and verbal, with a pleasant and professional communication style with customer service focus * Strong research, analytical, critical thinking, problem solving skills and decision-making skills * Desire to work in a fast-paced, service-oriented environment * Ability to initiate and prioritize regular work duties and projects * Detail oriented, organized, the ability to multi-task, and strong time management skills $72,500 - $108,800 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: 30/03/2026

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: Location: On-site at our Client's, Kwik Trip office in La Crosse, Wisconsin The Opportunity: In the role of Dedicated Client Liaison, you will be responsible for the intake and resolution of inquiries, issues, and/or general service requests related to Kwik Trip's employee benefits package, including life insurance, short- and long-term disability, applicable PFMLs, and voluntary supplemental benefits as well as other services provided by Sun Life to Kwik Trip. The position is accountable for bringing all customer issues to resolution accurately, efficiently and in full communication to all appropriate individuals and teams at Sun Life and the Client. You will partner with various stakeholders such as the payroll department, human resources, benefits department, managers, and other personnel as needed to field questions and provide training/information regarding the services for the Client. How you will contribute: Develop and maintain relationships with Kwik Trip staff, vendors, consultants, Sun Life contacts, as well as team members in other offices. Master knowledge of the Kwik Trip's in force Sun Life benefits and integrate knowledge into benefit plans, internal processes, and products to address the needs of the Client. Manage and resolve all inquiries, issues, and concerns to the satisfaction of the person/group inquiring. Coordinate with relevant stakeholders to ensure accurate processing of employee benefits. Assist with benefit claims submission and monitor claim progression, providing status updates as needed. Process and respond to Employer Verification Forms related to Short-Term Disability (STD) and Minnesota Paid Family and Medical Leave (MN PFML) claims. Participate in various Kwik Trip team meetings to answer questions regarding Sun Life's benefits. Proactively share insight and guidance on benefit administration, disability coverages, paid leave administration, and other plan management with Client's HR/benefits team members and when applicable, employees. Understand and potentially operate within Kwik Trip's administration systems to gather employee status information. Create and deliver Client-facing training and/or presentations, including developing visual content, structuring information for clarity and impact, etc.. Analyze and leverage available reports, conduct thorough audits, and effectively communicate relevant information to the Client in a clear, concise, and easily digestible format. Perform root cause analysis and proactively communicate with Sun Life service team regarding trends, needs, and employee level experience to continuously improve the Client experience. Identify and implement ways to make the benefit administration process more understandable for employees. Identify areas for Sun Life to bolster performance of the services and meaningful ways to measure and value the Client relationship. Define and expand the scope of this role to best support the Client's evolving needs. What you will bring with you: Bachelor's degree (preferred) and a minimum of 2+ years of related work experience. Ability to navigate and demonstrate sensitivity to the dynamic of being a Sun Life employee dedicated to the Client's worksite. In-depth knowledge of group insurance products/processes and paid leave administration programs, particularly knowledge on upcoming MN PFML. Experience administering disability (STD/LTD) benefit programs. A deep understanding of the leave of absence process, including eligibility requirements, documentation, and coordination with other benefits. Excellent customer services skills and superior written and oral communication skills. Strong self-motivation, adaptability, and initiative while supporting team efforts. Ability to work with a diverse range of people and handle difficult customer service situations. A strong understanding of systems and technology, including proficiency in Microsoft Office programs such as Word, Excel, PowerPoint, and Outlook. Thorough understanding of utilizing reports and basic data analysis to support benefit administration. 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. Salary: 56,100-84,200 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: 27/02/2026

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: 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 Medical Director serves as the clinical and strategic leader for the organization's medical advisory operations. This physician ensures the highest standards of medical accuracy, clinical insight, and operational effectiveness across the company's services to shape medical strategy and ensuring the highest quality guidance for members navigating complex healthcare decisions. The Medical Director does not provide direct patient care, but instead provides oversight, clinical judgment, and expert guidance to support advisors, members, research teams, and clinical relations How you will contribute: Strategic Development & Collaboration * Collaborate with organizational leadership to expand and manage Medical Advisory Board and provider referral network * Collaborate with the Chief Medical Officer (CMO) on innovative ways to increase member engagement, and realized value to drive membership renewal and persistency * Collaborate with executive leadership to refine the company's medical strategy, product development, service enhancements, content standards, and client deliverables * Stay current with emerging medical trends, therapies, and technologies relevant to advisory services * Assist in shaping PinnacleCare's value proposition and differentiation in the market place Clinical Leadership & Advisory * Provide medical advisory direction and management * Serve as a senior escalation point for complex, high-acuity, and sensitive clinical cases * Recommend appropriate physician specialties and centers of excellence based on individual member medical needs * Provide phone support for members with complex, multi-system medical conditions when necessary * Supervise the remote second opinion program for members and develop frameworks and criteria to guide when a second opinion or further evaluation is indicated Team Management & Leadership * Manage the physician chart review team * Oversee medical services team and coordinate PinnacleCare physician on-call program * Mentor, coach, and support assistant medical directors Quality Assurance & Standards * Lead development of medical review processes, clinical standards, and quality assurance programs * Partner with director of research on content and accuracy of medical intelligence research reports * Evaluate and recommend appropriate centers of excellence and subspecialty referrals Education & Training * Provide medical education curriculum for advisors and team leaders and when necessary with members for critical new or evolving medical information (ie epidemics, breakthroughs) * Mentor interns assigned to PinnacleCare for clinical content projects What you will bring with you: * Ability to work with a diverse range of people * MD from an accredited medical school with active, unrestricted U.S. medical licensure * Min 5 years of clinical experience * Certification by an ABMS board * Active and unrestricted medical license * Strategic thinker with strong attention to detail * Empathetic communicator able to bridge clinical and lay perspectives * Collaborative leader who thrives in a multidisciplinary, fast-paced environment * Committed to medical accuracy, ethical standards, and continuous improvement * Proficiency with Microsoft office Suite * Strong problem-solving, organizational and analytical skills Salary: $162,700-$244,100 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: 15/02/2026

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: The Sun Life Health and Risk Solutions team has ambitious growth goals, including expansion further into the health & wellness space, launched from a base of strength in Stop-Loss. To support this, we seek a research-focused professional who will drive innovation through comprehensive market analysis and strategic project management. The Senior Consultant, User Research and Innovation will support the development of data-driven insights that inform business strategy and content development in reimagining how people view and use healthcare. Seated within User Research and Innovation, this position will join a high-performing integrated Go-to-Market Strategy team with a strong track record of executing across partner teams in Sales Enablement, Marketing, and Client Experience. Partnership activities include: conducting qualitative research, analyzing market trends, supporting multichannel campaigns around insurance/health, risk management, and complex health conditions. Strong analytical skills and subject matter knowledge around the needs and values of brokers, clients, members, and health insurance partners are essential to excel in this position. This role will focus on conducting primary and secondary research, managing multiple research projects simultaneously, and translating findings into actionable insights for internal stakeholders. As a self-motivated researcher and project manager, this person will proactively identify emerging trends and opportunities, coordinate cross-functional research initiatives, and ensure timely delivery of high-quality research outputs that support our expansion into health and wellness solutions. How you will contribute: * Leading research project management - independently managing multiple concurrent research initiatives from conception to completion, ensuring deadlines are met, budgets are maintained, and deliverables exceed expectations * Conducting comprehensive market analysis - performing primary and secondary research to identify market opportunities, competitive landscapes, and emerging trends in healthcare, stop-loss insurance, and wellness solutions * Developing actionable insights - translating complex research findings into clear, compelling reports and presentations that inform business strategy and support content development initiatives * Supporting innovation initiatives - collaborating with cross-functional teams to design and execute research that uncovers new opportunities for product development and market expansion * Managing stakeholder relationships - coordinating with internal teams including sales, marketing, client experience, other internal partners and external vendors to ensure seamless project execution * Driving data-driven decision making - proactively identifying research needs, proposing methodologies, and delivering insights that support business objectives and growth goals * Contributing to business goals/thought leadership development - providing research foundation and data analysis that supports content creation and strategic positioning initiatives What you will bring with you: * Ability to work with a diverse range of people * Bachelor's or advanced degree in business, market research, or related field preferred * Minimum 2-3 years of experience in market research, business analysis, or related role * Insurance or healthcare industry experience preferred * Project management experience or certification a plus * Experience with both quantitative and qualitative research methodologies * Demonstrated success in managing vendor relationships and research partnerships * Proven ability to manage multiple projects simultaneously while maintaining high quality standards and meeting deadlines * Strong analytical and critical thinking skills with ability to synthesize complex information into actionable insights * Excellent project management capabilities including planning, resource allocation, timeline management, and stakeholder coordination * Self-starter with demonstrated ability to work independently, take initiative, and drive projects forward without constant supervision * Strong written and verbal communication skills with ability to present findings to diverse audiences * Proficiency in research methodologies including survey design, data analysis, and statistical interpretation * Experience with research tools and software a plus (e.g., SPSS, Tableau, survey platforms) * Collaborative mindset with ability to work effectively in a matrixed environment * Detail-oriented approach with strong organizational and prioritization skills * Curiosity and passion for healthcare innovation and insurance industry trends Salary: $76,300-$114,500 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: Business Analysis - Process 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: 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. Job Description: The opportunity: Member Support Specialists are the face to Sun Life's external clients. The position is accountable for the intake of all telephone calls and inquiries from claimants and policyholders as well as Sun Life's internal claims professionals and Client Relationship Executives. Individuals in this role uphold our commitment to providing the highest level of customer service standards in order to ensure our clients complete satisfaction. How you will contribute: * Will act as the primary contact for our Members and be responsible for answering Customer inquiries and identifying solutions to any problems during peak times as needed. * Support and take ownership of member inquiries and requests through inbound telephone calls. Some inquiries may require research and outbound follow-up. * Inquiries will focus on aspects of the client's group benefits plan. Topics will include details about their eligibility, coverage and claims. * Effectively listen to members and determine the best course of action. Most calls are resolved through well documented processes. * Empathetically assist the member through the claims process. * Provide feedback received from clients, or from your own observations, to identify and drive business changes needed to create an improved client experience. * Achieve productivity, scheduled adherence and quality assurance expectations as well as exude leadership competencies that contribute to a successful team environment. * When not supporting Customer Calls, responsibilities will also include administrative duties which facilitate new claim set up, and management of existing claims within Claim Shared Services * Review STD, LTD, Life, Life Waiver of Premium, Absence Documents * Manage Special Handling Process using instructions which vary for each group * Provide input and recommendations and analysis to management on business process * Emphasize Continuous Improvement, either enhancing the client experience or creating an efficiency. * Assignment of tasks to the appropriate area based on various criteria * Ability to identify complex diagnosis and handle accordingly * Able to meet production goals each day, based on work assigned * Ability to maintain a high level of accuracy when handing assigned work * Respond to all emails, both internal and external, within the required timeframe * May assist in special project work or other duties as defined by the needs of the business * Requires working knowledge of claim processing procedures and system applications * Requires critical thinking skills, high accuracy, quality work products, ability to multi-task and maintain a high production of pace and focus * Must possess appropriate verbal communication skills to address various departments and clients * Effective judgement to use both categories of skills when applicable, as outlined above, to enhance or expedite the client experience What you will bring with you: * Representatives must act with a sense of urgency by being responsive and resolving service issues as quickly as possible * Flexibility in being able to shift between different responsibilities throughout the day, or based on the task at hand * Ability to identify trends based on customer feedback or self-observations in order to drive an improved customer experience * The ability to actively listen to customers, paying attention to their needs, frustrations and suggestions is critical * Manage stressful situations with composed behavior demonstrating empathy and understanding * Demonstrated aptitude in problem solving and thinking "outside the box" * Possess the capability to work effectively in a fast paced environment that demands high energy and passion for customer service * Commitment is required to be flexible, adaptable and motivated to pitch in and support the team's work at all times * Proven record of providing strong and effective customer service * Ambition to continuously learn and develop professionally through feedback and coaching * Solid systems and technology skills * Strong verbal and written communication skills * Proficiency with Windows and Microsoft Applications * Ability to work in a fast pace, high volume and deadline driven environment * Strong working both independently and as part of a team * Bachelor's degree or equivalent work experience preferred Salary Range: $40,600 - $54,800 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: 01/02/2026

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: 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: 05/02/2026

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 Employee Benefits Internal Specialist, Group Underwriting position supports the Sales Representative with all aspects of the Request for Proposal (RFP) process through to sold case. This position provides key support to assigned Employee Benefit Representatives (EBR)/Small Business Sales Specialists (SBSS) within their team by generating timely and quality proposals, efficient discounting discussions and decisions with UW on the EBR/SBSS behalf and sold case processing. The position will also work closely with the EBIS and Underwriting, as well as Implementation. How you will contribute: * Review and evaluate RFP for all Sun Life Group Insurance Products. Examine all documentation supplied with RFP to decide what proposal(s) and/ or potential variations to provide. Documentation may include prior carrier certificates, contracts, prior plan rates, census files, prior claims experience, sales rep preferences, broker special arrangements. * Manipulate census data provided, to properly analyze the specific risk for each client. * Configure system with all relevant data, plan design(s) and census data, and calculate manual rates. * Perform rate analysis and rate adjustments within authority leveraging Manual Pricing Tool (MPT) and generate formal proposals with resulting rates. * Support discounting discussions and approval with Sales Rep and UW when outside of authority limits. * Process Sold Cases, including License and Appointment verification, marking cases sold in our administrative system, and setting up benefit enrollments utilizing our Case Manager system. * Ordering of benchmarking reports (BPTs), Disruption reports and Netminders and order print materials through ePrint. * Build strong relationship with EBRs through collaboration and communication on a daily basis. * Assist and order gifts and giveaways through our fulfillment partners. * Recognize and identify continuous improvements for the role and our team. * Attend strategy calls for large-case (over 500 lives) groups. * Conduct daily team huddles with learning opportunities. * What you will bring with you: * Ability to work with a diverse range of people * Employee Benefits or Group Benefits products knowledge * Bachelor's degree or equivalent year of experience preferred * Knowledge of insurance products and systems a strong plus * Ability to develop and maintain effective, professional business relationships across all levels of the organization * Demonstrate a responsive, service oriented professional approach in all interactions * Ability to think creatively and use professional judgment to resolve non-routine quoting issues * Organizational skills to approach work in an organized fashion and to effectively follow-up on outstanding details * Strong customer service skills, displaying flexibility and adaptability * Strong written and verbal communication skills and experience * Strong decision making and problem solving skills and experience with attention to detail * Demonstrate ability to work independently and effectively in a multi-site organization, with minimal supervision * Demonstrated ability to establish and maintain excellent team-oriented interpersonal working relationships * Demonstrated ability to work in a fast-paced, deadline oriented environment with multiple priorities and established performance standards * Proficiency in Microsoft Office with strong technical knowledge of Excel Salary Range: $60,200 - $90,300 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: Underwriting - Group Posting End Date: 11/03/2026

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: As a Senior Analyst, Business Architecture - Business Transformation, you will support the analysis, design, and optimization of business processes to improve efficiency and performance. This role partners with business leaders and project teams to support process improvement, change management, and automation initiatives that drive sustainable business outcomes. How you will contribute * Support process improvement and change management initiatives across the organization * Conduct interviews and working sessions to understand business processes and requirements * Analyze data to identify gaps, risks, and improvement opportunities * Develop business requirements, process maps, flowcharts, and future-state models * Synthesize findings into clear recommendations outlining value, risks, and implementation considerations * Collaborate with project teams and stakeholders to design and implement process and technology solutions * Identify opportunities for process automation and system integration * Monitor and evaluate the effectiveness of implemented solutions What you will bring with you * Ability to work with a diverse range of people. * Bachelor's degree or equivalent relevant experience * 3+ years of experience in business analysis, business architecture, or process improvement * Experience with process mapping, requirements gathering, and stakeholder management * Knowledge of change management and continuous improvement practices * Strong analytical, problem-solving, and communication skills * Ability to work independently while collaborating across teams Salary: $76,300-$114,500 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: Business Analysis - Process 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: 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. Reporting to the Director, Supplemental Health Pricing within the US Employee Benefits division, this role is responsible for providing actuarial and financial analysis to support pricing strategies for the Supplemental Health product pillar (Critical Illness, Cancer, Accident and Hospital Indemnity). How you will contribute: Pricing: * Perform regular experience studies to update manual rates and other pricing formulas to support profitable growth of the business. * Maintain and improve pricing tools and models. * Develop and monitor new business and renewal pricing programs. * Support new product initiatives, including product development, pricing and governance. * Manage required regulatory rate filings to approval. * Respond to internal and external audits for managed products. Profitability Management: * Evaluate product financial performance, communicating to management and functional areas. * Develop data, metrics and processes for effective financial management of the products. * Provide analysis to develop a deep understanding of macro and micro drivers impacting 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. * Provide input to Business and Strategic Plan forecasts. Leadership & Collaboration: * Contribute to building a high-performance team, providing leadership and coaching to actuarial students on the team. * Work in collaboration with other functional teams, including Product, Underwriting, Distribution, Claims, Valuation and Finance, as well as peers on the Group Pricing and Dental/Vision teams. * The role may involve direct management of one actuarial student, including recruitment and evaluation of performance. What you will bring with you: * Ability to work with diverse groups of people * FSA and/or FCIA with relevant work experience. Active membership in American Academy of Actuaries. * Bachelor's degree in Actuarial Science, Mathematics, Statistics or another field requiring rigorous mathematical analysis. * Strong analytical & technical skills to identify and track performance drivers, detect patterns in results. * Strong project management skills with a proven commitment to quality and meeting deadlines while handling multiple priorities. * 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. * Familiarity with Supplemental Health or Employee Benefits product pricing would be an asset. $135,000 - $202,500 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: Actuarial Posting End Date: 30/03/2026

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: 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 Associate Operations Correspondence Analyst is part of the Operations Correspondence Templates team, reporting to the Operations Correspondence Senior Manager. Implements and maintains the templates utilized for correspondence required based on operational activity and driven by requirements defined by federal/state regulation, NCQA and URAC. How you will contribute: Manage efforts to implement and revise correspondence, resulting from operation activity for utilization management, claims, and complaints/grievance/appeals, to ensure accurate content within the templates and the templates are implemented or revised within the timelines required. Completion of the client requirement document (CRD) to accurately reflect contract and regulatory requirements. Presentation of the CRD content to the client. Coordinate revisions necessary to final completion and client approval. Identify the templates required for implementation, based on operational process and requirements. Draft a template document, as necessary. Ensure template content meets requirements based on client contract, regulations, NCQA and/or URAC. Perform gap analysis for correspondence requirements and system functionality and/or current process and develop strategic solutions to ensure compliance with requirements. Coordinate template implementation and revisions with the client, client services, operations, the correspondence technical team and the Operations Correspondence Senior Manager. Define the rules necessary to accurately populate variable information within the template. Communicate the rules effectively to the correspondence technical team. Mock up samples of the templates and submit to the correspondence technical team to draft production samples. Define the parameters to be utilized to produce the samples, when necessary. Review production samples provided to ensure accuracy. Obtain approval from the client of the production samples. Coordinate through client services, as necessary. Coordinate production of the template with the correspondence technical team after approval has been received. Coordinate with the Operations Correspondence Senior Manager to create cases to test triggers for templates for complaint/grievance/appeals. Obtain translation of template content into non-English language(s), as necessary. Audit production samples of the letter files once the template is put into production. Communicate all template implementation and revisions to the applicable operational department. Audit templates periodically to ensure most recent approved template is in production. Assist the Operations Correspondence Senior Manager to determine root cause for all findings identified in an external audit, relating to correspondence. Correct errors identified by the UM Administrative Coordinators relating to mapping to citations and member denial language. Create and maintain a letter library and tracking mechanism for all current and historical templates for each client. Documentation to include client approval and the version of the template that is approved. Complete the process for Notice of Action (NOA) letters that require modification prior to mailing to the member to ensure modifications completed are accurate and completed timely. Cultivate and maintain professional relationships with both internal and external customers; communicate effectively with both internal and external customers using various methods of communication, including email, conference call, and video conferencing. Demonstrate a detailed understanding of requirements for correspondence for operations, as listed in individual client contracts and in federal and/or state regulations. Demonstrate a detailed understanding of DentaQuest policies and processes for correspondence for operations. Participate in market meetings to understand client requirements and changes. Communicate any items that impacts correspondence. Other duties as needed or required. What you will bring with you: Required: Associate degree in business, healthcare or related field (or equivalent work experience) Proficient with general computer software including Microsoft Excel, Word and Outlook. Exceptional communication skills and the ability to communicate appropriately at all levels of the organization. This to also include the ability to communicate appropriately with external customers, including clients and/or regulatory agencies. Excellent spirit for teamwork, problem-solving, communication, and decision-making skills. Strong situational analysis and decision-making abilities. Excellent verbal, written, interpersonal, organizational and public speaking/communication skills. Able to effectively communicate visualizations. Ability to prioritize and organize multiple tasks with tight deadlines. Ability to manage multiple projects and priorities in a fast-paced, result-driven environment. Excellent independent problem-solving skills. Self-motivated and has the ability to work with little supervision and make independent decisions. Demonstrated track record of attention to detail. Required to attend additional training as requested/deemed necessary. Preferred: Minimum 3 years demonstrated experience managing multiple complex tasks with varying deadlines and competing priorities. Ability to work closely with internal business partners to ensure project completion. Previous experience managing template documents. Previous experience in professional or academic research Demonstrated experience managing relationships with internal/external customers and working closely with the external customer to implement processes. Salary: $54,000 - 72,900 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, qualification, 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: Business Analysis - Process Posting End Date: 19/02/2026

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. 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: Senior Managers provide leadership, guidance and direction to a team of Case Specialists adjudicating Short Term Disability claims. The position is responsible for the service, risk, financial performance, leadership and development of a team of Case Specialists. This role is accountable for Client experience and strong claims management practices which require aligning work practices, performance, and initiatives to reflect the organization's strategic priorities. How you will contribute: * Responsible for the leadership and development of a high performing team * Oversee and direct the work of a team of 10 - 12 Case Specialists including regular reviews & assessment of team performance against Service and Performance Guarantees. * Is actively involved in the team's work, setting objectives, creating plans, assigning work, addressing team performance issues. * Develop, implement, and evaluate claim practices to deliver best in class service and processes. Ensure uniformity and consistency with all claim practices and procedures. * Ensure compliance with all relevant laws, regulations, and company policies * Analyze claims data and trends to identify areas for improvement * Communicate verbally and in writing with clients, vendors, and internal resources including senior management, in response to inquiries including claimant or case specific statuses, escalated calls or departmental process and performance measures. * Collaborate with peers and partner teams to deliver on department expectations in support of sales objectives and client service goals. * Participate and/or lead continuous improvement initiatives or special projects aligned to our KPIs. * Interprets contracts and ensures consistent, fair claims practices and adherence to appropriate laws, regulations, and procedures. * Reviews and signs off on claim payments within established limits and/or reviews recommendations made by medical resources to determine proper disposition of claims. * Protect and maintain personal health information with a high level of confidentiality abiding by Sun Life procedures and by HIPPA rules and regulations. * Contribute to fraud detection and prevention efforts * Other duties and responsibilities as assigned. What you will bring with you: * A minimum of five years management experience of an Absence or STD Claims team * Proven success in developing, building and fostering high performance teams * Strong Disability and Absence Management knowledge with demonstrated expertise in Federal/State FMLA, short-term disability, statutory disability plans, or ADA. * Strong leadership skills with an ability to engage employees to deliver top performance related to service, risk and quality * Able to set direction, monitor performance and initiate and communicate changes in direction as needed. * Able to build agreement on actions by resolving conflicts in an open and positive manner. * Demonstrated ability to influence others to achieve results. * Ability to work professionally and effectively with a diverse group of people. * Strong organizational skills, including the ability to prioritize work and multi-task. * Strong research, analytical, critical thinking, problem solving skills and decision-making skills. * Strong computer skills, proficient in PC environment and MS Word, Excel, and email systems. * Attention to detail with documentation, reporting and communication. * Ability and desire to work in a fast-paced, service-oriented environment. * Excellent verbal and written communication skills, with the ability to be both pleasant and professional. * Ability to initiate and prioritize regular work duties and projects. * BA/BS in a related field of business is highly preferred. * Field or industry specific designations are a plus. Salary Range: $72,500 - $108,800 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: 05/02/2026

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: As a Manager, Data Intake you'll lead a high-performing team driving performance excellence and operational efficiency for Stop Loss & Health Claims Services. This strategic position focuses on developing talent, optimizing claims processing operations, and ensuring your team consistently meets service goals and quality standards. You'll partner closely with the Claims Services Senior Manager to build expertise, implement process improvements, and create a culture of continuous development and accountability. How you will contribute: * Manage individual and team performance in a high-production environment, conducting regular one-on-one and team meetings to ensure alignment with goals and metrics * Oversee stop loss insurance claims processing, including medical/Rx claims creation, expense line input, data merging, and Rx reporting * Monitor and analyze team metrics using advanced Excel skills to track efficiency, identify trends, and uncover development opportunities * Ensure accuracy and data integrity in all processing activities, appropriately utilizing available resources * Document and communicate policies and procedures clearly, following up to ensure staff compliance with current practices * Manage data intake inventory levels and coordinate communication with internal and external clients alongside Claims Managers * Oversee data management and reporting functions, maintaining spreadsheets for collection, storage, and analysis * Collaborate across the organization to meet data intake needs, addressing issues with data sources and templates * Update Visual Boards and tracking systems to maintain transparency on team performance * Design and facilitate training sessions based on quality trends, error findings, and skill gaps identified through feedback * Develop current staff and manage the complete recruitment, onboarding, and training process for new employees * Partner with Associates and Quality Analysts to create comprehensive training materials, presentations, and recorded sessions * Empower staff to develop and execute continuous improvement initiatives independently, presenting results to upper management * Meet regularly with Senior Manager to communicate improvements, concerns, and team development opportunities * Incorporate Brighter Way principles in everyday work and model positive engagement during team discussions What you will bring with you: * Ability to work with a diverse range of people * Prior management experience required; BS/BA degree with 5-7 years of industry experience preferred * Advanced knowledge of Microsoft Excel, Word, and PowerPoint * Strong understanding of stop loss insurance products and medical claims data/processes * Data intake and stop loss product expertise * Exceptional organizational skills with ability to independently manage time and staff performance * Excellent verbal and written communication and presentation abilities * Proven ability to build partnerships and influence across all organizational levels * Results-oriented mindset with strong analytical and problem-solving skills * Track record of documenting and driving process efficiencies and improvements * Ability to manage and develop high-performing teams in fast-paced environments * Strong resourcefulness and adaptability * Commitment to continuous learning and professional development Salary: $54,100-$81,200 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. 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: 05/02/2026

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: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. The opportunity: Responsible for overall client relationship, satisfaction, and program success. The Client Partner will oversee every element of the contract deliverables, including compliance reporting, financial reporting and service level performance reporting. Also responsible for ensuring effective internal coordination of cross-functional teams and external communication of client requests to ensure client expectations are satisfied. How you will contribute: Responsible for on-going, effective communications and service to the current clients via on-site meetings, web-conference calls, and day-to-day interaction. Provide primary support to DentaQuest leadership for administration of administration of the client's program, and communicate information accurately and efficiently, to ensure that DQ is meeting and exceeding client expectations, and the terms of the RFR and contract. Proactively identify client expectations, communicate expectations to DQ leadership and staff, and ensure expectations requirements are delivered effectively. Proactively resolve issues and strengthen relationships at various professional levels within the client's organization. Responsible for coordination and serving as primary point of contact for client audits of DentaQuest programs to include coordination of documentation requests, meeting organization, and responding to auditor follow-up requests to DentaQuest. Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance. Support innovative business practices and process improvement opportunities for current and prospective clients (e.g., P4Q, QARR, ER Diversion). Monitor changes in regulations and fee schedules, and communicate same to ensure compliance with state and federal guidelines. Perform functions that support timely and accurate reporting to clients. Responsible for ensuring Office Reference Manuals are kept up to date, corrective action plans are implemented and client audits are organized effectively. Develops and submits IODs based on CMS, market- or client-specific program requirements. Manages process for obtaining program requirements, documentation, support and other special requests from clients, providers and other organizations. Provides regular updates to senior management on internal and external issues affecting market performance. Represent DentaQuest at health fairs, conferences and advisory meetings through the State. Utilize leadership, negotiation, conflict resolution, project management, and strategic problem-solving skills. Other duties as assigned. What you will bring with you: Bachelor's degree in business, Healthcare Administration (or related field) or equivalent, relevant work experience. Five years' experience working with external clients/customers; proven track record of providing superior service to internal and external customers. Two years' experience in a supervisory role. Well-organized and superior organizational, written, and oral communication skills (particularly presentation skills). Knowledge of group benefits. Proven ability to provide consultative services to proactively meet customer needs, using management reports, offering training opportunities and recommending innovative solutions. Ability to work independently and as part of a team. Proficient with general computer software including Microsoft Excel, Word and Outlook. Proven problem-solving skills. Ability to make good judgment conclusions based on data available with minimal supervision. Ability to prioritize and organize multiple tasks with tight deadlines. Excellent customer service skills. Up to 50% local travel required. Salary: Salary Range: $63,000 - $94,500 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 vetera n. Job Category: Sales - Client Relationship Management 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 Appeal Specialist is responsible for the investigation and resolution of all administrative and clinical appeals based upon specific regulatory and or client requirements. In addition, this position is responsible for the assembly and preparation of responses to clients, members and/or providers. This position is responsible for daily interaction with assigned market/client contacts, as well as various internal departments. This position is also responsible to ensure that all mandated turnaround times are met as well as required processes and workflows are adhered to. How you will contribute: Investigate, document and resolve member and provider appeals and inquiries related to appeals in accordance with State and/or Plan guidelines. Ensure all components of the appeal or request for information are researched and addressed. Assemble necessary information for the client so they may appropriately investigate an appeal when DentaQuest is secondary. If contracted to do so, also investigate the appeal and provide recommended outcome and appropriate correspondence. 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 complete any client directives or overturns. Collaborate and partner with Complaint & Grievance team to resolve common issues oor trends. Take the lead in working with other internal departments/management team to ensure that any trends identified in appeals are communicated and rectified. Keep abreast of changes in market requirements and demonstrate expert knowledge in specific market nuances. Identify and resolve issues that are unusual and not consistent with standard workflows. Attend client or market meetings as assigned and share any new issues/changes that may be impactful. Establish and maintain professional relationships with Plan contacts. Contact involved provider office to obtain information to properly review the case. Document and summarize member's and provider's concerns / issues in a concise and easily readable format. Ensure all letter templates in use are correct and most recent versions are used. Identify areas for improvement or processes that are unproductive, time consuming, and/or inefficient and communicate that information to management. Other duties as assigned. What you will bring with you: High School Diploma or GED required. 1+ years experience in healthcare operations or appeals; or related field. 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) even if 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. Other duties, as assigned as they relate to complaints and grievances. Previous experience in claims billing or prior authorizations Bachelor's degree in business, healthcare or equivalent Keyboarding 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 vetera n. Job Category: Claims - Health & Dental Posting End Date: 26/02/2026

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 Appeal Specialist is responsible for the investigation and resolution of all administrative and clinical appeals based upon specific regulatory and or client requirements. In addition, this position is responsible for the assembly and preparation of responses to clients, members and/or providers. This position is responsible for daily interaction with assigned market/client contacts, as well as various internal departments. This position is also responsible to ensure that all mandated turnaround times are met as well as required processes and workflows are adhered to. How you will contribute: * Investigate, document and resolve member and provider appeals and inquiries related to appeals in accordance with State and/or Plan guidelines. Ensure all components of the appeal or request for information are researched and addressed. * Assemble necessary information for the client so they may appropriately investigate an appeal when DentaQuest is secondary. If contracted to do so, also investigate the appeal and provide recommended outcome and appropriate correspondence. * 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 complete any client directives or overturns. * Collaborate and partner with Complaint & Grievance team to resolve common issues oor trends. * Take the lead in working with other internal departments/management team to ensure that any trends identified in appeals are communicated and rectified. * Keep abreast of changes in market requirements and demonstrate expert knowledge in specific market nuances. * Identify and resolve issues that are unusual and not consistent with standard workflows. * Attend client or market meetings as assigned and share any new issues/changes that may be impactful. * Establish and maintain professional relationships with Plan contacts. * Contact involved provider office to obtain information to properly review the case. Document and summarize member's and provider's concerns / issues in a concise and easily readable format. * Ensure all letter templates in use are correct and most recent versions are used. * Identify areas for improvement or processes that are unproductive, time consuming, and/or inefficient and communicate that information to management. * Other duties as assigned. What you will bring with you: * High School Diploma or GED required. * 1+ years experience in healthcare operations or appeals; or related field. * 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) even if 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. * Other duties, as assigned as they relate to complaints and grievances. * Previous experience in claims billing or prior authorizations * Bachelor's degree in business, healthcare or equivalent * Keyboarding 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: 26/02/2026

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 Appeal Specialist is responsible for the investigation and resolution of all administrative and clinical appeals based upon specific regulatory and or client requirements. In addition, this position is responsible for the assembly and preparation of responses to clients, members and/or providers. This position is responsible for daily interaction with assigned market/client contacts, as well as various internal departments. This position is also responsible to ensure that all mandated turnaround times are met as well as required processes and workflows are adhered to. How you will contribute: Investigate, document and resolve member and provider appeals and inquiries related to appeals in accordance with State and/or Plan guidelines. Ensure all components of the appeal or request for information are researched and addressed. Assemble necessary information for the client so they may appropriately investigate an appeal when DentaQuest is secondary. If contracted to do so, also investigate the appeal and provide recommended outcome and appropriate correspondence. 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 complete any client directives or overturns. Collaborate and partner with Complaint & Grievance team to resolve common issues oor trends. Take the lead in working with other internal departments/management team to ensure that any trends identified in appeals are communicated and rectified. Keep abreast of changes in market requirements and demonstrate expert knowledge in specific market nuances. Identify and resolve issues that are unusual and not consistent with standard workflows. Attend client or market meetings as assigned and share any new issues/changes that may be impactful. Establish and maintain professional relationships with Plan contacts. Contact involved provider office to obtain information to properly review the case. Document and summarize member's and provider's concerns / issues in a concise and easily readable format. Ensure all letter templates in use are correct and most recent versions are used. Identify areas for improvement or processes that are unproductive, time consuming, and/or inefficient and communicate that information to management. Other duties as assigned. What you will bring with you: High School Diploma or GED required. 1+ years experience in healthcare operations or appeals; or related field. 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) even if 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. Other duties, as assigned as they relate to complaints and grievances. Previous experience in claims billing or prior authorizations Bachelor's degree in business, healthcare or equivalent Keyboarding 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 vetera n. Job Category: Claims - Health & Dental Posting End Date: 26/02/2026