Senior Appeals Specialist (Hybrid/Remote)

Symetra; États-Unis; Hybride; USD 66 000 - 110 000; Plein temps

Avantages offerts par ce poste

Flexible full-time or hybrid telecommu

401(k) with company match up to 6%

Paid time off and holidays

Résumé du poste

Symetra seeks a Senior Appeals Specialist to lead thorough appeals reviews of denied or terminated claims across Short Term Disability, Long Term Disability, Life, and related policies. You will ensure adherence to ERISA guidelines and collaborate with Compliance to address complaints.

The role emphasizes coordinating with claimants, providers, and employers, developing action plans, and ensuring timely, accurate appeal decisions while identifying trends to support staff development.

Qualifications

• Knowledge of disability claims processing and related policies.
• Familiarity with ERISA and regulatory timelines.

Responsabilités

• Appeals: review denied/terminated claims per plan provisions and develop action plans.
• Coordinate with claimants, providers, and employers to gather information and request reviews.
• Communicate outcomes within required timeframes and identify trends for staff development.

Description du poste

Symetra seeks a Senior Appeals Specialist to lead thorough appeals reviews of denied or terminated claims across Short Term Disability, Long Term Disability, Life, and related policies. You will ensure adherence to ERISA guidelines and collaborate with Compliance to address complaints.

The role emphasizes coordinating with claimants, providers, and employers, developing action plans, and ensuring timely, accurate appeal decisions while identifying trends to support staff development.