Symetra has an exciting opportunity to join our team as Claims Examinerfor Supplemental Health!About the roleIn this role, you will primarily make claim decisions for ourcritical illness, scheduled or group accident and hospital indemnity supplemental health productsand may also work with our limited benefit medical (LBM), and/or minimum essential coverage (MEC) products.What you'll do in this roleMake timely, accurate, and customer-focused claim decisionsReach out to internal and external sources to gather relevant medical, financial, legal, and/or general data, as needed on a claim-by-claim basisCompare information received to the applicable contract and procedural documents and render the claim decision as quickly as possibleEngage peers and management as appropriateDocument the claim systems in an accurate and comprehensive mannerPrepare and disseminate written and verbal communication to internal/external contacts as neededRemain in compliance with regulatory requirements and operational standardsDemonstrate proficiency in supplemental health products and claim administration techniquesQuickly resolve issues or concerns with payments, voids, refunds, and re-pricing issuesWork as a team to support one another through flexibility, collaboration, creating a positive work environment, maintaining professionalism and integrity, and actively taking steps to foster high morale, while demonstrating a dedication to excellenceOther special projects or tasks as assignedWhat we offer you"If you want to invest in yourself and build a career, this is a great place to work. If you don't want to put in the effort to learn the industry and become a student of the business (it takes real effort!), there are easier places to work." Cris H. - AVP Internal Sales, Training and Development"Symetra is inclusive of all employees regardless of their personal differences." Darrell J. - Actuary III"Symetra values learning. Symetra has so many resources - whether that is the Student of the Business courses, sponsorship of professional certifications, or just individual employees being so willing to teach and answer questions." Felicia D. - Financial Reporting Lead Senior AnalystBenefits and PerksWe 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 arrangementsPlan 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 holidaysGive back to your community and double your impact through our company matchingWant more details? Check out our Symetra Benefits Overviewopens a pdf fileCompensationHourly Salary Range: $21.00- $35.19 plus eligibility for annual bonus program Who you areHigh School Diploma or equivalent3-5 years related work experience required working with group medical, Hospital Indemnity, and other voluntary health insurance products.2+ years' experience adjudicating Critical Illness and/or accident claims requiredProven experience reading and interpreting insurance/legal contracts a plusSolid understanding of the Microsoft Office Suite of applications, especially Access, Word, and ExcelExcellent customer service skills with the ability to showcase genuine care and empathyAdept math skillsExcellent verbal and written communication skillsReliable, organized, and flexibleHigh attention to detailAble to handle multiple projects and prioritize workflowWe 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 perspectives, 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/careersWork AuthorizationEmployer 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.#LI-OR1#LI-Remote
