Claims Examiner

Symetra has an exciting opportunity to join our team as a Claims Examiner! This role is responsible for timely adjudication of group life and AD&D claims, verifying eligibility and making the initial claim decision based on the policy. Strong desire to provide world class service to both internal and external customers.

Requirements

• Reviews, 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.
• 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.
• Determines correct payee and accurately issues payments with next level approvals.
• Educates and coaches the policyholder, brokers/agents and internal Symetra partners on proper policy administration when needed.
• Identify issues and take ownership of problems.
• Find solutions and see them through to resolution.
• Has flexibility, collaboration and support for a positive work environment both within the team and across all departments

Benefits

• Flexible full-time or hybrid telecommuting arrangements
• 401(k) plan with immediate vesting and company matching up to 6%
• Paid time away including vacation and sick time, flex days and ten paid holidays
• Company matching for charitable donations
• Annual bonus program