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Claims Examiner

icon building Company : Symetra
icon briefcase Job Type : Full Time

Number of Applicants

 : 

000+

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Job Description - Claims Examiner

Symetra has an exciting opportunity to join our team as a Claims Examiner!


 


About the role


 Responsible for timely adjudication of group life and AD&D claims, verifying eligibility and making the initial claim decision based on the policy. Responsible for making accurate payments to the correct beneficiaries. Strong desire to provide world class service to both internal and external customers.


What you'll do in this role



  • Reviews, investigates and determines eligibility pursuant to policy provisions while meeting regulatory, statutory, department and company requirements. 



  • Requires ability to appropriately interpret and apply contract provisions. Reaches out to the policyholder and beneficiaries regarding outstanding requirements. 



  • Consults with manager regarding potential referrals to Legal Department and medical resources when needed. 



  • Maintains claim records and documents claims in a manner defensible in court. Communicates claim status and decisions to policyholders, insureds, beneficiaries and other interested parties in accordance with internal guidelines, regulatory and statutory requirements. Demonstrate proficient use of the claim system and associated systems. 



  • Maintains performance at or above departmental metrics. Determines correct payee and accurately issues payments with next level approvals.  



  • Educates and coaches the policyholder, brokers/agents and internal Symetra partners on proper policy administration when needed. 



  • Identify issues and take ownership of problems. Find solutions and see them through to resolution.  



  • Has flexibility, collaboration and support for a positive work environment both within the team and across all departments  



  • Be an active agent for change and identify opportunities within our processes and procedures to improve 


What we offer you 


"Just do it! Even if you feel like you may not be 100% qualified, apply. Sometimes we see potential in others that they cannot see in themselves. You may be overqualified, or you may be the "something special" we are looking for to bring a unique, fresh approach to our company." - Ruby S., Associate EDX Analyst 


If you want to work for a company that is always considering its employees while working towards sustainable growth this is that company. Within Symetra, there is always innovation, empowerment, and growth opportunities, all while providing us with a great work/life balance and incredible benefits for a very reasonable cost!” - Cindy J. G., Sr. Product Owner


“Symetra is truly a great place to work. The positive work climate, strong sense of team, and the resources available make it feel like one cohesive family. What stands out most to me is the company’s deep commitment to diversity, equity, and inclusion—it’s not just a statement, it’s an active and ongoing priority that’s felt throughout the organization.” -Charlotte G., Sr. Underwriter - Consultant Stop Loss


 


 Benefits and Perks


 


We don’t take a “one-size-fits-all” approach when it comes to our employees. Our programs are designed to make your life better both at work and at home.



  • Flexible full-time or hybrid telecommuting arrangements

  • Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%

  • Paid time away including vacation and sick time, flex days and ten paid holidays

  • Give back to your community and double your impact through our company matching

  • Want more details? Check out our Symetra Benefits Overview


 


Compensation


Hourly Salary Range: $24.62- $41.04 plus eligibility for annual bonus program 


 


Who you are:


 



  • You are a recognized expert within the organization, both within the business unit/division and beyond own function.

  • Applies an expert level and diversified knowledge of a field of specialization.


 


 




We empower inclusion
At Symetra, we aspire to be the most inclusive insurance company in the country. We're building a place where every employee feels valued, respected, and has opportunities to contribute.

Inclusion is about recognizing our assumptions, considering multiple perspective, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our efforts here.

 

Creating a world where more people have access to financial freedom
Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we're guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they're buying, and we design products--and operate our company--to stand the test of time. We're committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom.

For more information about our careers visit: https://symetra.eightfold.ai/careers

 

Work Authorization
Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company.

 


Please review Symetra's Remote Network Minimum Requirements:

As a remote-first organization committed to providing a positive experience for both employees and customers, Symetra has the following standards for employees' internet connection:


  • Minimum Internet Speed:100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband."

  • Internet Type:Fiber, Cable (e.g., Comcast, Spectrum), or DSL.

  • Not Permissible:Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up.


When applying to jobs at Symetra you'll be asked to test your internet speed and confirm that your internet connection meets or exceeds Symetra's standard as outlined above.

 


Identity Verification

Symetra is committed to fair and secure hiring practices. For all roles, candidates will be required (after the initial phone screen) to be on video for all interviews. Symetra will take affirmative steps at key points in the process to verify that a candidate is not seeking employment fraudulently, e.g. through use of a false identity.

 

Failure to comply with verification procedures may result in:


  • Disqualification from the recruitment process

  • Withdrawal of a job offer

  • Termination of employment and other criminal and/or civil remedies, if fraud is discovered


 


#LI-OR1


#LI-Remote



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