Manager, Claims Operations - Remote

Davita Inc.; United States; Hybrid; USD 93,000 - 157,000; Full time

Job summary

A national financial services company is seeking a Claims Operations Manager. This critical role includes overseeing claims operations, developing processes, and ensuring compliance with regulations. The ideal candidate will have extensive experience in claims management and a passion for improving customer experiences. Join a progressive team dedicated to financial freedom and operational excellence.

Benefits

Flexible full-time or hybrid telecommuting arrangements

401(k) plan with immediate vesting and company matching

Paid time away including vacation and sick time

Qualifications

• Minimum 10 years in a claims management role.
• Ability to obtain a New York State Adjusters License as applicable.
• Excellent oral and written communication skills.

Responsibilities

• Ensure appropriate transparency into organizational performance levels.
• Deliver effective and efficient day-to-day execution.
• Support new customer implementation and relationships.

Skills

Communication

Leadership

Customer Service

Organizational Skills

Education

Bachelor's degree preferred

Life claim management certification preferred

Job description

Symetra has an exciting opportunity to join our team as aClaims Operations Manager!

About the Role

This position will have responsibility for day-to-day execution, both directly and possibly through management of team leaders. This position will also be responsible for defining, further developing, and documenting claim processes and guidelines. In addition, there is accountability for driving definition of the customer experience to be delivered, positioning the organization to deliver that experience through ensuring appropriate management mechanisms are in place, hiring and developing staff, and supporting business growth/sales efforts by presenting our overall value proposition story to prospective customers.

What you will do

• Ensure appropriate transparency into organizational performance levels through control monitoring, management reporting, etc.


• Deliver effective and efficient day-to-day execution across all functions.


• Maintain a strong line of communication with the Legal and Compliance area to ensure that all state and federal regulations are met and that Symetra's claim practices are consistent with the regulations.


• Support new customer implementation and on-going relationships / communications Complaint resolution and DOI complaint management.


• Resolve and approve escalated claim payments and expense adjustments.


• Develop additional business requirements for the claims system.


• Serve as a lead on claims operation projects and initiatives.


• Collaboration across the organization to define and document best practices and processes - ensuring alignment with upstream and downstream functions to enable a seamless customer experience.


• Partner closely with QA, training, and other support organizations to ensure staff are making appropriate claim determinations and providing appropriate answers to claimant/policyholder inquiries.


• Benchmarking Symetra practices against our key competitors.


• Provide direction and guidance to team leaders and front line staff as needed.


• Claim staff recruitment.


• Maintain a strong line of communication across the organization.


• Staff development, hiring, mentoring and succession planning.

Why work at Symetra

"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 Analyst

What we offer you

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

Salary Range:$93,900 - $156,600plus eligibility for annual bonus programs

Who you are

• Bachelor's degree preferred.


• Minimum 10 years in a claims management role.


• Life claim management certification preferred.


• Ability to read, understand and apply contract language.


• Knowledge of state and federal regulations.


• Knowledge of medical disability management terms.


• Ability to obtain a New York State Adjusters License, as applicable to the role.


• Knowledge of medical terminology.


• Excellent oral and written communication skills.


• Demonstrated level of proficiency with software programs, including Microsoft Office products Strong organizational skills.


• Excellent customer service skills.


• Ability to work in a team environment, while adapting and supporting change.


• Ability to meet or exceed performance expectations as set by clients and Unit.


• 5+ years of experience overseeing insurance claims managers 10+ years claims experience.


• Strong communication skills.


• Excellent people development skills.


• Ability to work independently and effectively manage multiple projects.


• High school diploma required.

Travel:

• Required Training & Professional Development
  All newly hired people leaders with direct reports are required to complete a comprehensive leadership development program within their first year. This program includes both virtual and in-person training. The in-person sessions will take place at Symetra's corporate headquarters in Bellevue, Washington. Symetra covers all travel and accommodation expenses.


• Reasonable Accommodations
  Symetra is committed to providing equitable access to all job-related responsibilities, including required travel. If reasonable accommodations are needed for travel, Symetra's HR department will work to provide appropriate solutions in alignment with individual needs and company policies.

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 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/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.

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