Director, Stop Loss RMS Underwriting

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Position Summary:

Stop-Loss RMS (SLRMS) is a segment of Sun Life’s Health and Risk Solutions business unit provides turnkey risk management services to various Clients interested in having their own stop loss product.

The Director will have oversight of all aspects of case pricing – from opining on the rate manual calculations, to the underwriting guidelines, to the utilization of nurse review, and setting case rates.

We are seeking someone with stop loss underwriting experience, underwriting nurse review management experience and reinsurance experience. In addition, the individual will be expected to foster relationships with our client’s actuarial and underwriting teams.

What you will do:

• Represent SLRMS to the clients

• Establish, lead and develop the talent on the underwriting and the nurse large claim review teams

• Establish underwriting guidelines and independently make case-by-case decisions, escalating recommendations outside guidelines to AVP, Stop-Loss Risk Management Solutions

• Collaborate with the FullscopeRMS team to attract new clients and retain existing clients

• Contribute to defining and executing on short and long term business strategies

• Collaborate with the Sun Life corporate teams as needed as well as with the Sun Life stop loss actuarial teams

• Initiate studies and strategies that promote profitable business growth, making innovative process improvement recommendations

• Anticipate and respond to client needs, identifying and implementing solutions

• Assess predictive models and other tools utilized for catastrophic large claim management and implement such tools as appropriate

What you will need to succeed:

• Ability to negotiate, persuade and resolve conflict effectively

• Collaborative and comfortable navigating in cross functional organizations

• Ability to work with a diverse range of people

• Strong verbal, written, and presentation skills

• Experience working in and with various actuarial functions, such as pricing and reserving is a plus

• Some travel required

Required education and skills:

• Bachelor’s degree. Master’s degree preferred

• 7 years of experience working with Stop-Loss product or related self-funded / healthcare experience

• Demonstrated leadership and experience in managing employees within a small tactical unit

• Experience underwriting Stop-Loss products

• Exceptional interpersonal and relationship building skills especially in client/sales situations

What is in it for you?

• Excellent benefits with generous vacation and sick time, 401K match, noncontributory retirement plan, Paid Family Medical Leave, sabbatical program and much more

• Friendly, collaborative and inclusive culture

• Our agile work environment allows our employees the flexibility to give and feel their best at work

It is the policy of SLF U.S. that we will recruit, hire, train, and promote persons in all job titles, and ensure that all other personnel actions are administered, without regard to age, race, color, religion, national origin, ancestry, gender, sex (including but not limited to pregnancy, childbirth, or breastfeeding), sexual orientation, gender identity or expression, military or veteran status, physical or mental disability, medical condition, genetic information, marital status, or other legally protected status, and we will ensure that all employment decisions are based only on valid job requirements.

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.

If you are a Colorado resident, the minimum starting salary for this position will be $139,100.00 annually. Sun Life will consider various factors in determining the actual pay including your skills, qualifications and experience. This position is also eligible for a broad range of competitive benefits including a choice of company-subsidized medical plans, consisting of network-based plans and plans offering the freedom to go to any provider and two company-subsidized dental plans. We also provide company-paid Basic Life and Accidental Death and Dismemberment (AD&D) insurance and Optional Life Insurance that you may purchase for additional coverage. We offer a very generous Paid Family & Medical Leave program, LTD and attractive vacation and sick time. We provide voluntary supplemental health programs such as Accident and Hospital insurance and Critical illness and Cancer insurance. Tax-advantaged accounts include Health Savings Accounts, Health Care and Dependent Care FSA accounts and Commuter Benefit accounts. Our 401(k) plan consists of a company match and employer sponsored contributions.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.