
Process Consultant Stop Loss Claims
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Job overview
The Process Consultant, Stop Loss Claims supports process governance, end-to-end documentation strategy, and continuous improvement within Stop Loss Claims Operations. The role translates adjudication and system workflows into standardized, auditable operating models and partners with leaders across Claims, Compliance, Quality, Audit, IT, and Learning to reduce variation, enable change, and improve operational outcomes. It is suited for an experienced claims professional who can influence beyond direct authority and anticipate downstream risk.
Full job description
JOB REQUIREMENTS: 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. At Sun Life, we're driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful. When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: The opportunity: The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens quality, compliance, scalability, and risk management within Stop Loss Claims Operations This role translates complex adjudication and system workflows into standardized, auditable, and future-ready operating models. The role partners closely with senior leaders across Claims, Compliance, Quality, Audit, IT, and Learning to reduce variation, enable change, and drive measurable operational outcomes. This position is suited for an experienced claims professional who influences beyond direct authority, anticipates downstream risk, and elevates the organization through disciplined process design and governance. How you will contribute: Process Governance & Enterprise Documentation Strategy Support the end-to-end governance framework for all Stop-Loss Claims processes, SOPs, templates, and... For full info follow application link. Sun Life Financial is an equal employment and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by law. Sun Life Financial is committed to building a diverse and inclusive company culture. Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/4E71F7164C9C4AA2
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