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Sun Life

Senior Claims Fraud Investigation Consultant

wellesley, MA

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Job description

Sun Life U.S. is seeking a Senior Consultant, Claims Investigation Services (CIS) to lead complex investigations into suspected fraud, abuse, misrepresentation, and provider misconduct across Supplemental Health products.

The role emphasizes quality control, audit responsibilities, and collaboration with analytics, legal, and operations teams. You will develop investigation playbooks, train claims staff, and champion fraud prevention initiatives while ensuring documentation, regulatory

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Worksite address

wellesley, MA, 02482, US

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