Sun Life jobs in Milwaukee, WI

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: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: The Senior Manager, Accommodations Services provides supervisory responsibilities to the Accommodations team in support of Sun Life Integrated Absence, Disability and Accommodation services. In this role, you work within a team environment among a peer group and with key business partners to service client needs related to absence, disability and accommodations. Additionally, you are responsible for your team performance and meeting the established operational area standards for the professional management of both routine and complex claims for Absence and Disability Management. How you will contribute: * Lead and develop a team managing ADA and PWFA accommodations * Conduct quality reviews and provide coaching to staff * Drive talent development, including selection, retention, and performance management * Facilitate interactive dialogues with employees, medical professionals, and other stakeholders * Monitor workflow and ensure optimal case management * Oversee utilization of internal and external resources * Participate in strategic planning for Accommodation Services * Identify areas for continuous improvement * Monitor and report on key performance metrics * Contribute to educational seminars and client presentations What you will bring with you: * Ability to work with a diverse range of people. * 5+ years' direct experience required in managing accommodations, absence, vocational services and/or claims team. * Previous people leadership/ management experience strongly preferred. * Disability and Absence Management knowledge with demonstrated expertise in Federal/State FMLA, short-term disability, statutory disability plans, ADA and PWFA.and/or the disability insurance industry * Strong communication and negotiation skills * Advanced knowledge of Accommodation and Vocational Services * Excellent analytical, critical thinking, and problem-solving abilities * Ability to work in a fast-paced, service-oriented environment * Strong organizational and time management skills * Collaborative team player with the ability to work independently Salary: $71,100-$106,700 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Life & Disability Posting End Date: 19/12/2025

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: The opportunity: The Commercial Dental Representative will involve handling customer service inquiries via phone and some dental claims processing. The ideal candidate will have excellent communication skills, a strong comprehension of dental insurance, and the ability to manage both customer interactions and administrative tasks efficiently. How you will contribute: Call Center Duties: * Serve as the primary point of contact for members, dental offices, and providers via phone, email, or online inquiries. * Answer questions related to dental benefits, claims status, and general dental plan inquiries. * Resolve issues or concerns regarding claims, billing, coverage, and other customer service-related matters. * Document all customer interactions accurately in the system. * Provide clear explanations of policies, procedures, and benefits to callers. * Maintain a high level of professionalism, empathy, and customer service during all interactions. * Verify dental benefits and eligibility for members and providers. * Communicate claim status and outcomes to providers and members, including providing detailed explanations for claim outcomes. Claim Processing Duties: * May include processing some dental claims pend types in accordance with company policies and procedures. * May perform claim adjustments on a defined set of claim types * Ensure claims are accurate, complete, and comply with relevant guidelines and regulations. * Resolve any discrepancies or issues related to claim denials or rejections. This may include modifying or adjusting some claim types. * Maintain confidentiality and adhere to HIPAA guidelines when processing claims and handling confidential information. What you will bring with you: * High school diploma or equivalent * Previous experience in a call center, customer service, or claims processing environment (preferred). * Knowledge of dental insurance plans, benefits, and terminology (strongly preferred). * Excellent verbal and written communication skills. * Strong problem-solving abilities and attention to detail. * Ability to manage time effectively and handle multiple tasks simultaneously. * Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM systems or claims processing software. * Ability to maintain professionalism in a fast-paced, customer-focused environment. * Strong social and communication skills to build rapport with customers and providers. * Ability to work without supervision as well as part of a team. * Knowledge of dental terminology and procedures is highly beneficial. * Excellent organizational and multitasking abilities. * Ability to work under pressure and meet deadlines while maintaining high-quality work. Salary Range: $39,300 - $53,100 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 28/01/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: The opportunity: Do you enjoy organizing information and ensuring accuracy? As a Data Intake Associate for our Claims Services team, you'll play a key role in supporting Stop Loss and Health Claims. You'll be responsible for reviewing submitted reports and entering them into our system, ensuring everything is set up correctly. You'll also create claimant profiles and handle any unique data entry needs. In this role, you'll delegate less complex reporting to Data Intake Administrators. How you will contribute: * Accurately process all types of data submissions, determining if the information is a clinical summary, detailed report, correspondence, etc. * Possess proficient knowledge in the Data Intake policies and procedures * Demonstrate the ability to adapt to new business processes * Act independently or in a team when processing data submissions * Understand the importance of accuracy when processing data received and appropriately allocates resources * Identify less complex data submissions and follow up/monitor with Data Intake Administrators * Review error trends and positively support team development * Meets established metrics for production and accuracy * Communicate regularly with Data Intake Consultant to raise process concerns or escalate submissions * Work with Team Leads to identify training opportunities * Engage in development opportunities * Generate continuous improvement ideas What you will bring with you: * Ability to work with a diverse range of people * 1-3 years of claims data experience, preferably in Healthcare, Stop Loss or related product insurance field * Strong attention to detail * Exceptional accuracy * Strong written and verbal communication skills * Ability to decipher clinical summary data from detailed claims data * Self-motivated with the ability to work independently and in a team environment. * Strong interpersonal, customer service, and organizational skills. Salary Range: $38,200 - $51,600 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Claims - Health & Dental Posting End Date: 29/01/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: 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: 02/11/2025

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: The Associate Director of Complementary and Integrative Medicine (CIM) provides expert medical consultation, strategic direction, and program leadership for all CIM-related activities involving PinnaleCare members. This role combines clinical expertise with strategic, operational, and research oversight to deliver whole-person, patient-centered care. The Associate Director will guide the design, growth, and integration of CIM programs that align with PinnacleCare's mission, ensuring quality, innovation, and value for members. How you will contribute: * Establish the overall vision, mission, and strategic goals for PinnacleCare's CIM program. * Lead the development and implementation of a multi-year strategic plan to expand CIM services, identify innovative opportunities, and strengthen partnerships that enhance member value. * Serve as PinnaleCare's subject matter expert on complementary and integrative medicine, providing direct clinical consultation and guidance to health advisors and internal teams. * Collaborate with the Chief Medical Officer (CMO) and organizational leadership to expand and manage the CIM Medical Advisory Board and provider referral network. * Oversee program operations, productivity, and budget performance to ensure sustainability and measurable impact. * Develop strategies to advance the visibility and increase usage of CIM services across the organization. * Collaborate with the Research and Medical Intelligence teams in developing evidence-based reports, literature reviews, and data summaries on CIM topics. * Work with the Director of Research to identify qualified members of the CIM clinical community to produce high level research reports for internal and external distribution * Maintain and enhance the CIM clinician and facility database to ensure it remains current, credible, and aligned with evidence-based practice standards. * Participate in complex case reviews and facilitate referrals to qualified CIM clinicians and specialists within the network. * Develop and deliver training and professional development programs on CIM approaches, modalities, and evidence-based practices for internal staff. * Collaborate with Marketing and Communications to highlight CIM program value, outcomes, and innovations in internal and external publications. * Represent the CIM program at internal meetings, external conferences, and industry events to build awareness and credibility. * Support Membership Development and Relationship Management teams with CIM-related education, resources and client consultations. * Provide operational oversight for all CIM activities to ensure high-quality member experience and alignment with PinnacleCare standards. * Build and maintain relationship with CIM clinicians, vendors, and strategic partners to support service excellence and continuity of care. * Identify and implement process improvements to enhance efficiency, member satisfaction, and cost effectiveness. * Resolve clinical and operational issues related to CIM services and referrals in collaboration with internal and external partners. What you will bring with you: * Ability to work with a diverse range of people * Doctor of Naturopathic Medicine (ND) degree from an accredited naturopathic medical college * Board certification by the North American Board of Naturopathic Examiners * Demonstrated experience in program leadership, strategic planning and service expansion within the field of integrative medicine * Strong clinical foundation and working knowledge of Complementary, Alternative and Integrative modalities * Excellent interpersonal, written and verbal communication skills with the ability to collaborate effectively across disciplines * Proven ability to balance clinical quality with financial and operational priorities * Proficiency with Microsoft office Suite * Strong problem-solving, organizational and analytical skills Salary: $109,400-$164,100 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Medical Services Posting End Date: 11/01/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our leaders are expected to foster connection and teamwork by being present in the office 2 to 3 days per week. The opportunity: 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: 30/10/2025

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: We support US flexible working arrangements in the contiguous 48 states, however for this position you must reside in either Illinois or Wisconsin. At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you'll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America. The Opportunity: As an Senior Employee Benefit Sales Representative, you represent our brand in the market. You will solve our clients' needs through consultative and solution based selling and build relationships with contacts in your territory to identify, develop and negotiate sales opportunities. At Sun Life, you will sell our robust portfolio of employee benefits - Dental, Life, Vision and Disability products - that have a positive impact in people's lives. Further, as we increase our focus on the voluntary benefits market, you will have the ability to sell even more products in partnership with our Supplemental Health Practice Leads. How you will contribute: * Sell employee benefits products through an established network of insurance brokers, third party administrators and consultants * Build and establish relationships with key sources to market our portfolio of products to some of the nation's top employers * Construct and maintain a business plan for your designated territory based on sales and strategic initiatives * Call on existing and potential customers to not only prospect new customers but also to develop a book of business * Meet and exceed seasonal targets and personal sales goals * Develop internal relationships, such as with underwriters, distribution specialists and internal support partners who will assist you in creating specialized plans to meet your clients' needs What you will bring with you: * More than five years of Group Benefit sales industry experience * Currently licensed with your state required Life and Health agent license * A passion to succeed and test yourself while building a book of business * A winning attitude and interest in a career that offers professional growth, and high income potential * Drive, self-motivation, a consultative nature and be a great problem solver * Ability to work with a diverse range of people * Degree from a four-year college or university, or requisite work experience * Strong networking and relationship management skills * Excellent listening, presentation, negotiation and communication skills The annual base salary for this position is $55,000, plus the ability to earn variable incentive compensation through a sales incentive plan. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Sales - Direct Posting End Date: 04/01/2026

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 Client Partner is responsible for contract deliverables, including compliance reporting, financial reporting and service level performance reporting. The Client Partner is also responsible for ensuring effective coordination and 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, conference calls, and day-to-day interaction. Provide support to DentaQuest leadership for 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 RFP and contract. Identify and communicate client expectations to DQ leadership and staff, and ensure expectations are delivered effectively. 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 updating Office Reference Manuals, implementing corrective action plan response and effectively organizing client audits. 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. 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. 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 working with Medicare Advantage programs/ 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 20% local travel required Ability to work in a traditional professional office setting/remote equivalent. Ability to effectively operate computer equipment. Work schedule may vary and is determined by project schedules. Ability to travel as projects dictate Ability to efficiently operate all job-related office equipment. Ability to communicate via telephone and work in virtual teams The office environment is active with high voice levels and interruptions that may challenge hearing and concentration. 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. 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. 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: 30/12/2025

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. The opportunity: The Sr. Software engineer maintains IT objectives by supporting business processes, systems, and clients specifically with UI, middleware and system integrations related technologies and applications, carries out these responsibilities by providing information technology (IT). How you will contribute: Provide guidance with process design. Design, develop, and test automation. Assure the quality of the automation (QA processes). Work with Business Analysts, Scrum Masters, QA Analysts, Product Owners, and other cross-functional resources to define and deliver business impacting projects. Work directly with stakeholders to capture business requirements and translate them into technical approaches and designs that can be implemented. Collaborate with development team members to ensure proper implementation and integration of the solutions. Support deployments or troubleshoot production issues outside of work hours and participate in an on-call rotation as-needed. Maintain current knowledge of relevant technologies and business processes. What you will bring with you: 5+ years of hands-on experience with AWS cloud services. Strong proficiency in infrastructure-as-code tools (CloudFormation, Terraform). Deep understanding of cloud networking, security, and automation. Experience with container orchestration (EKS, ECS, Docker, Kubernetes). Proficiency in scripting languages (Python, Bash, PowerShell). Demonstrates sound technical skills with a strong working knowledge of the client's business in order to effectively translate business needs to IT solutions Excellent analytical, Database tuning and problem solving ability Ability to manage multiple tasks Excellent organization and prioritization skills. Effective oral and written communication skills Required to attend additional training as requested/deemed necessary Salary: Salary Range: $98,400 - $147,600 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. #LIHybrid Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: IT - Application Development Posting End Date: 30/10/2025

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: The opportunity: The Absence & Disability Consultant works with employers, employees, and health care providers to administer an integrated Family and Medical Leave Act (FMLA) rights and responsibilities and Short-Term Disability claim. Provides advice and counsel regarding leave administration and effectively coordinates all cases/claims in compliance with the FMLA and all related employment laws. Responsible for the professional management of both routine and complex claims for Group Short Term Disability while working both independently and in a team to ensure superior service to policyholders and claimants. Reviews claims and makes final determination for admittance or denial. Approves payment of claims and Company liability within established limits. How you will contribute: * Interprets and administers leave programs and policies in accordance with the applicable federal and state employment laws (FMLA, ADA, USERRA, Pregnancy Discrimination Act, etc.). * Facilitation and engagement in interactive dialogue with employees, medical professionals, supervisors, and HR business partners to assist employees. * Documentation of the request for absence including detailed points of contact and actions taken to coordinate the accommodation request. * Reviews claim payments within established limits and/or reviews recommendations made by medical resources to determine proper disposition of claims. * Sets claim action plan to ensure that determinations are adjudicated in a timely, accurate, and efficient manner. * Interprets contracts and ensures consistent, fair claims practices and adherence to appropriate laws, regulations, and procedures. * Obtains backup documentation, as necessary, to substantiate claims or to provide service by communicating via telephone with agents, employers (policyholders), claimants, hospitals, physicians, attorneys, and other resources. * May handle other related duties such as providing technical assistance to other Claims staff or assisting in special projects or assignments. * Protect and maintain personal health information with a high level of confidentiality abiding by Sun Life procedures and by HIPPA rules and regulations. What you will bring with you: * Ability to work with a diverse range of people. * 1+ years of customer, absence, and claims services experience * Communicating effectively and professionally with a wide variety of both internal and external Sun Life business partners, peers, and resources. * Effective ability to use legal resources and demonstrate a proven ability to comprehend and interpret legal and medical terminology to make final decisions to approve or further investigate claims. * Attention to detail with documentation, reporting and communication. * Demonstration of strong mathematical skills for calculations and adjustment of claim payments. * Facilitation skills in a variety of circumstances and with a wide variety of input. Ability to influence and teach. * Self-directed with an ability to work independently and make independent judgments and decisions. * Strong organizational skills, including the ability to prioritize work and multi-task * Strong research, analytical, critical thinking, problem solving skills and decision-making skills. * Ability and desire to work in a fast-paced, service-oriented environment. * Excellent verbal communication skills, with the ability to be both pleasant and professional. * Ability to work professionally and effectively with co-workers, clients, claimants, vendors, and others with whom Sun Life does business. * Strong organizational skills, including the ability to prioritize work and multi-task. * Strong verbal and written communication skills. * Strong interpersonal and customer service skills. * Ability to initiate and prioritize regular work duties and projects. * Detail oriented, organized, the ability to multi-task, and strong time management skills. Salary Range: $56,100 - $84,200 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Absence / Leave Management Posting End Date: 30/01/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: The Complaints & Grievances Specialist II handles for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements. In addition, responsible for the assembly and preparation of Maximus packets, State Fair Hearing packets as well as coordination and participation in State Fair Hearings. Accountable for daily interaction with assigned market/client contacts, as well as various internal departments. This position also ensures that all mandated turnaround times are met as well as required processes and workflows are adhered to. How you will contribute: * Investigate and resolve complaints and grievances in accordance with State and/or Plan guidelines. Ensure all components of the grievance/complaint are researched and addressed. Complaints/grievances that this role is responsible for include: * Member Complaints/Grievances * Member Complaints/Grievances submitted by plan (when DQ is secondary) * Provider Complaint * SDOH (State Department of Health) complaints * DOI (Department of Insurance) complaints * BBB (Better Business Bureau) complaints * Executive complaints (complaints addressed to executives of DentaQuest) * Any other complaints/grievance submitted as part of the formal grievance process * Prepare State Fair Hearing packets and coordinate scheduling State Fair Hearing reviews * Assemble necessary information for the plan so they may appropriately investigate member appeals/complaints when we are not delegated. * Monitor shared mailboxes and department e-mails to ensure cases are properly entered into department tracking system, and that requests are acknowledged and resolved timely and accurately. Manage workflow to meet department, Plan, State, and company goals and deadlines. * Comply with and resolve proof of compliance and directives. * Contact involved provider office to obtain information to properly review the case. Document provider's/staff's perception of the member's concerns / issues. * Document all complaints/grievances/appeals in department tracking system What you will bring with you: * High School Diploma or GED required. * 1 year of C&G experience with demonstrated success in C&G Specialist I or 2 years' experience in claims, customer service, provider network or another operational function. * Proficient with general computer software including Microsoft Excel, Word and Outlook. * Excellent verbal, written, interpersonal, organizational and communication skills. * Excellent research skills with ability to identify underlying issue(s) not articulated * Ability to remain calm and focused in a high pressure/high workload environment * Ability to work in a high stress environment. * Ability to prioritize and organize multiple tasks with tight deadlines. * Ability to remain organized with multiple interruptions. * Ability to work overtime as needed or required to meet business objectives. Salary: $49,200 - 66,400 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 08/01/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. : Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work The opportunity The Accommodation Consultant (AC) is the subject matter expert related to accommodations and sits within a team of peer consultants who support Sun Life Clients including the employers, employees for exploring and implementing workplace accommodations, leave as an accommodation and plans for both keeping and returning employee's to the essential functions of their job. In this role, you work within a team environment among a peer group and business partners with related subject matter expertise to service client needs related to absence, disability, and accommodations. How you will contribute * Providing day to day support of Sun Life client's regulatory obligations under the Americans with Disabilities Act (ADA) alongside and in collaboration with the client HR and management team, specific to both leave and non-leave workplace accommodations. * Assisting Sun Life client's and their employees in the detailed components of the ADA interactive process to gather and clarify medical information; to evaluate and identify accommodation options and to provide the client necessary guidance to make an informed accommodation decision. * Facilitation and engagement in interactive dialogue with employees, medical professionals, supervisors, and HR business partners to assist employees who require workplace accommodations based upon a medical condition. * Documentation and tracking of the request for accommodation including detailed points of contact and actions taken to coordinate the accommodation request. * Assisting employers with development of essential function job descriptions. * Collaborates with disability and absence specialists to evaluate and support cases for accommodation support and coordination. * Working closely with Sun Life Legal to obtain advice concerning legal requirements. * Independently staying current on disability policies, State and Federal laws as well as regulations surrounding Absence, ADA and other relevant legislation. * Providing accommodation and return to work planning specific education to employers and employees. * Partnering with external vendors and/or other resources to explore effective accommodation options as needed (e.g. Job Accommodation Network, EAP services, Ergonomic Evaluators…). * Protecting and maintaining personal health information with a high level of confidentiality abiding by Sun Life procedures and by HIPPA and ADA requirements, rules, and regulations as applicable. * Maintain claim file through up-to-date documentation of telephone calls and at-work/return to work activity as required by established procedures. * Participate in formal and informal file discussions to assist with action items and to proactively identify potential for vocational services What you will bring with you: * Ability to work with a diverse range of people * Certification or Expertise in Human Resources, Disability Management, Vocational Rehabilitation, Absence and/or Accommodations * 2-4 years' claims, absence, accommodation, or customer experience in disability insurance industry * Prefer direct experience in two or more of the following areas: managing Accommodations, Vocational Rehabilitation, RTW Services, Labor Relations, Absence Management, Disability Claim Management or Workers Compensation * Experience with ADA (Americans with Disabilities Act) and FMLA (Family and Medical Leave Act) * Ability to communicate effectively and professionally with a wide variety of both internal and external Sun Life business partners, peers and resources * Attention to detail with documentation, reporting, and communication * Strong organizational skills, including the ability to prioritize work and multi-task * Facilitation skills in a variety of circumstances and with a wide variety of input. Ability to influence and teach. This influence translates into business needs and goals supporting a client's human resource capabilities * Self-directed with an ability to work independently and make independent judgments and decisions while also knowing when legal and compliance issues need to be escalated to Sun Life Law * Strong research, analytical, critical thinking, problem solving and decision-making skills * Ability and desire to work in a fast-paced, service-oriented environment * Ability to initiate and prioritize regular work duties and projects $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: 07/01/2026