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
Job Summary
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.
This position is responsible for reviewing claims, interpreting and comparing contracts, dispersing reimbursement, and ensuring that all claims contain the required documentation to support the Stop Loss claim determination.
Sun Life prioritizes employee well-being with comprehensive benefits including generous vacation and sick time, paid family leave, medical coverage, retirement plans, and a flexible, inclusive work environment.
Matching Summary
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.
Salary
Base: $54,100 - $81,200; Bonus/Equity: Discretionary annual incentive award; Benefits: Comprehensive benefits including paid leave and retirement plans
Skills & Requirements
Must-have
Stop Loss claim processing
Contractual provisions application
Claims documentation review
Customer service in claims
Medical claims eligibility determination
Microsoft Office proficiency
Nice-to-have
Negotiation and persuasion skills
Solutions-based underwriting
Team collaboration
Knowledge of health care industry
Flexibility handling multiple priorities
Use of professional case management resources
Key Requirements
Bachelor's degree preferred
Three to five years medical or stop loss claims experience