Global Portfolio Strategy Governance Lead managing execution of portfolio strategy across multiple business lines and regions. Maximizing market impact of product lines with governance and functional excellence.
About the role
- Director, Claims Risk Management for Sun Life Canada responsible for excellence in claims risk assessment and leading claims adjudicators. Collaborating with internal and external parties to enhance the claims experience.
Responsibilities
- Support the VP, Chief Underwriter and Claims Risk Officer
- Promote excellence and consistency in claims risk assessment across SLF Canada
- Develop and conduct claim reviews/audits for Individual and Group products within the Claims COE and recommend periodic changes to the review programs
- Continuously contribute to the development of the organization’s claims philosophies
- Champion and advocate for a positive and consistent claims experience for all clients of SLF Canada
- Participate in and coordinate reinsurance audits and ongoing communications regarding changes to claims policies
- Provide deep technical expertise for complex and high dollar cases
Requirements
- Minimum 10 years of claims adjudication experience including deep knowledge of Life, Critical Illness, Disability and Long-Term Care
- Minimum of 5 years in a leadership role
- Industry related courses ACS or ALHC
- University degree, with preference given to medical, science, legal or business
- Problem Solving and Analytical skills– ability to analyze and resolve complex issues
- Strong People Skills – ability to handle escalated cases, build relationships, influence outcomes and negotiate difficult situations
- Bilingualism (French, English) for Quebec
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development programs
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