Life Claims Examiner

Symetra; United States; Remoto; USD 34.000 - 56.000; Tempo pieno

Vantaggi offerti da questo lavoro

401(k) plan with company match up to 6

Paid time off including vacation and H

Flexible full-time or hybrid telecomm

Remote-friendly workplace

Descrizione del lavoro

Symetra Life Insurance Company is seeking a Life Claims Examiner to adjudicate group life and AD&D claims, verify eligibility, and issue initial payments to beneficiaries in accordance with policy provisions.

You will review, investigate, and determine eligibility, communicate claim status to policyholders and beneficiaries, and maintain defensible claim records. Flexible full-time or hybrid telecommuting options are available to support work-life balance.

Competenze

• Previous Life and Disability claims experience required.
• 1-2 years of cumulative relevant experience preferred.
• High school diploma or equivalent work experience, college degree a plus.

Mansioni

• Review, investigate and determine eligibility according to policy provisions.
• Reach out to policyholders and beneficiaries regarding outstanding requirements.
• Communicate claim status and decisions to policyholders, insureds and beneficiaries.
• Maintain claim records and document claims in a defensible manner for court cases.
• Issue payments to correct beneficiaries with appropriate approvals.

Conoscenze

Life claims experience

Formazione

High school diploma or equivalent

College degree a plus

Descrizione del lavoro

Symetra offers a thrilling chance to become part of our team as a Life Claims Examiner !About the roleResponsible for timely adjudication of group life, AD&D, 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 will doReviews, 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. Life claim specific: Determines correct payee and accurately issues payments with next level approvals.Educates and coaches the policyholder, brokers/agents and Symetra sales representatives on proper policy administration when needed. Identifies potential policy language discrepancies and works with the Symetra sales representatives to correct if necessary.Why Work at SymetraHere’s what some of our employees share about why they choose to work at Symetra:\"All I can say and I do say it often to friends and colleagues.. Symetra is the best place I have ever worked for!!!!!\" - Lisa F., Sr. Auditor, Trainer“I chose Symetra because I heard it was a pro-employee company—and it’s absolutely true. The work environment is supportive, the people are great, and the benefits are generous. Symetra truly cares about its employees. The relaxed atmosphere and opportunities to learn and grow—both within your role and beyond—make it a great place to build your career.” - Alicia L., Claims ExaminerWhat we offer youBenefits and PerksWe don’t take a “one-size-fits-all” approach when it comes to our employees. Our programs are built 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.CompensationHourly Range: $24.62-$41.04 plus eligibility for annual bonus program.Who You AreHigh school diploma or equivalent work experience, college degree a plus.Previous Life and Disability claims experience required.1-2 years of cumulative relevant experience preferred.We empower inclusionAt 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 freedomSymetra 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.Please review Symetra's Remote Network Minimum Requirements:As a remote-first organization with a cameras-on culture, reliable internet connectivity is important to how we connect, collaborate, and serve our customers. To support 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 VerificationSymetra 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 processWithdrawal of a job offerTermination of employment and other criminal and/or civil remedies, if fraud is discovered