LTD Claims Analyst – WBI

We're looking for a Long-Term Disability Claims Analyst to join our team at Symetra. As a Claims Analyst, you'll make timely, accurate, and customer-focused claim decisions, collaborate with clinical, vocational, financial, and employer resources, and ensure optimal outcomes and compliance with regulatory standards.

Requirements

• Evaluate new and ongoing LTD claims promptly and accurately.
• Analyze medical, vocational, and financial information to determine liability and eligibility.
• Apply contract language and procedural guidelines to claim decisions.
• Document claim decisions thoroughly in the system.
• Maintain accurate record keeping of communications with claimants, providers, employers, and internal partners.
• Build and maintain claim management plans for optimal outcomes.
• Identify and support settlement opportunities as applicable.
• Collaborate with internal resources (e.g., Actuaries, CPAs, Medical Clinicians) to support claim adjudication.
• Ensure compliance with ERISA, HIPAA, Fair Claim Settlement Practices Acts, and other statutory regulations.
• Deliver empathetic, customer-first service throughout all interactions.
• Support training and mentoring of team members as needed.
• Assist in identifying needs for evaluations such as FCEs, IMEs, and peer consultations.
• Foster a collaborative and professional team environment.

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