Senior Appeals Specialist – Remote Claims Expert

Symetra Financial Corporation; États-Unis; À distance; USD 66 000 - 110 000; Plein temps

Avantages offerts par ce poste

Flexible work arrangements

401(k) plan with company matching

Paid time off and holidays

Company-wide matching donations

Résumé du poste

Symetra Financial Corporation is seeking a Senior Appeals Specialist to perform thorough appeals reviews of denied or terminated claims across Short Term Disability, Long Term Disability, Life, and Waiver of Premium lines. The role requires coordinating with claimants, providers, and employers to gather information and render timely decisions under ERISA guidelines.

The position offers flexible full-time or hybrid telecommuting options, a competitive salary range, and eligibility for an annual

Qualifications

• Experience with Short Term Disability, Long Term Disability, Life insurance claims.
• 5-8 years of cumulative, relevant experience.
• Knowledge of ERISA and regulatory timeframes.

Responsabilités

• Review appealed claims in accordance with plan provisions.
• Develop action plans for handling appealed claims.
• Contact claimant representatives, providers, and employers to gather information.
• Determine type of specialty review needed and develop questions.
• Resolve appeals within mandated timeframes and communicate outcomes.
• Work with Compliance to handle and respond to complaints.

Connaissances

Appeals processing

Regulatory compliance

Claims review

Communication

Formation

High school diploma or equivalent

College degree

Description du poste

Symetra Financial Corporation is seeking a Senior Appeals Specialist to perform thorough appeals reviews of denied or terminated claims across Short Term Disability, Long Term Disability, Life, and Waiver of Premium lines. The role requires coordinating with claimants, providers, and employers to gather information and render timely decisions under ERISA guidelines.

The position offers flexible full-time or hybrid telecommuting options, a competitive salary range, and eligibility for an annual