STD Case Manager

Symetra; Bellevue (WA); Hybrid; USD 64,058,000 - 106,936,000; Full time

Benefits offered by this job

Flexible hybrid schedule

401(k) matching up to 6%

Paid time off & holidays

Company matching to community causes

Benefits Overview

Job summary

Symetra is hiring a STD Case Manager to make timely, accurate STD/SDI/AM claim decisions and gather essential information from clinical, vocational, and employer sources. You will ensure documentation is precise, contract terms are met, and communications are clear with internal and external parties.

You will collaborate with teammates to meet performance metrics while maintaining compassionate, customer-first service and adherence to regulatory standards.

Qualifications

• High school diploma or equivalent work experience; college degree is a plus.
• 3+ years of STD claims experience preferred.
• Knowledge of STD, SDI, and Absence management rules preferred.
• Understanding of medical terminology, anatomy, and pathology preferred.
• Excellent communication, decision-making, and organizational skills.
• Strong customer service and problem-solving abilities.
• Able to manage multiple priorities with attention to detail.
• Proficiency with Microsoft Office Suite required.
• Claim Vantage experience a plus.
• NY Independent Adjuster license or certifications (e.g., FMLA Specialist) are a plus.

Responsibilities

• Make timely, accurate STD, SDI, and AM claim decisions; gather data from internal/external sources.
• Maintain compliance with contract terms and regulatory requirements; document clearly.
• Communicate effectively in writing and verbally; support team metrics and objectives.

Skills

Communication

Decision making

Organizational skills

Customer service

Problem solving

Microsoft Office

Claim Vantage

FMLA Specialist

New York license

Education

High school diploma

College degree a plus

Tools

Microsoft Office Suite

Job description

Symetra offers a thrilling chance to become part of our team as a STD Case Manager!

About the role

Make timely, accurate, and customer-focused Short-Term Disability, and/or Statutory Disability Insurance, and/or Absence Management claim decisions. Proactively reach out to clinical, vocational, employer, financial, and other informational internal and external sources to gather relevant data, compare it to the applicable contract/administrative agreement and procedural documents, conduct an analysis, and engage peers and management as appropriate. Communicate verbally and in writing and fully leverage the claim system with accurate and comprehensive information. Maintain performance at or above departmental metrics. Be nimble and agile.

What you will do

• Make timely, accurate, and customer-focused STD, SDI, and AM new and ongoing claim decisions. Reach out to obtain relevant clinical, vocational, employer, financial, and other information. Compare the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and render the claim decision as quickly as possible. Document the claim systems in an accurate and comprehensive manner while maintaining maximum levels of efficiency. Prepare and disseminate articulate written and verbal communication to assorted internal and external sources. Prepare, update, and utilize a claim management plan to attain the most appropriate outcome. Remain in full compliance with regulatory requirements. Demonstrate an above average level of proficiency in STD, SDI, and AM product and claim administration techniques. Remain fully compliant with operational standards. Meet or exceed claim team operational metrics.
• Maintain a superior level of genuine caring and empathetic customer service throughout all interactions. Take appropriate actions to earn the claimant's and employer's trust and confidence. Anticipate customer needs and take action.
• Work as a team to support one another through flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence.

Why Work at Symetra

Here’s what some of our employees share about why they choose to work at Symetra:

"What I was searching for was a company that genuinely valued my voice-and I found that at Symetra. I truly enjoy working one-on-one with our customers, especially when they're going through life's toughest moments. Being able to offer support and hear their relief and gratitude when we help-it's deeply meaningful. That's what makes me proud to be part of the Symetra team." - Lilly H., Claims Team Lead

What we offer you

Benefits and Perks

We 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.

Compensation

Hourly Range: $22.38 - $37.32 plus eligibility for annual bonus program.

Who You Are

• High school diploma or equivalent work experience, college degree a plus.

• 3+ years of STD claims experience preferred.
• Knowledge of STD, SDI, and Absence management products and relevant regulations preferred.
• Understanding of medical terminology, anatomy, and pathology preferred.
• Excellent communication, decision-making, and organizational skills.
• Strong customer service and problem-solving skills.
• Able to manage multiple priorities concurrently with attention to detail.
• Proficiency with the Microsoft Office Suite required.
• Claim Vantage experience a plus.
• NY Independent Adjuster license or industry certifications (e.g., FMLA Specialist) are a plus.

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 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 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: 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.

Please review Symetra's Remote Network Minimum Requirements:

• 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 Verification

Symetra 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 process
• Withdrawal of a job offer
• Termination of employment and other criminal and/or civil remedies, if fraud is discovered