Symetra has an exciting opportunity to join our team as a Supplemental Health Claims Examiner!

Do you have experience with?

• Hospital Indemnity
• Critical Illness
• Accident

Then we need you!

About the role

In this role, you will make claim decisions for supplemental health products which may include limited benefit medical (LBM), critical illness, hospital indemnity, scheduled or group accident, and/or minimum essential coverage (MEC) products.

• Make timely, accurate, and customer-focused claim decisions
• Reach out to internal and external sources to gather relevant medical, financial, legal, and/or general data, as needed on a claim-by-claim basis
• Compare information received to the applicable contract and procedural documents and render the claim decision as quickly as possible
• Engage peers and management as appropriate
• Document the claim systems in an accurate and comprehensive manner
• Prepare and disseminate written and verbal communication to internal/external contacts as needed
• Remain in compliance with regulatory requirements and operational standards
• Demonstrate proficiency in supplemental health products and claim administration techniques
• Quickly resolve issues or concerns with payments, voids, refunds, and re-pricing issues
• Work as a team to support one another through flexibility, collaboration, creating a positive work environment, maintaining professionalism and integrity, and actively taking steps to foster high morale, while demonstrating a dedication to excellence
• Other special projects or tasks as assigned

Salary Range: ($21.00 to $34.19) plus eligibility for annual bonus program

• High School Diploma or equivalent
• 2 + years experience with Hospital Indemnity, Critical Illness, & Accident insurance required.
• 3-5 years related work experience required
• Proven experience reading and interpreting insurance/legal contracts a plus
• Solid understanding of the Microsoft Office Suite of applications, especially Access, Word, and Excel
• Excellent customer service skills with the ability to showcase genuine care and empathy
• Adept math skills
• Excellent verbal and written communication skills
• Reliable, organized, and flexible
• High attention to detail
• Able to handle multiple projects and prioritize workflow

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 perspectives, 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:

www.symetra.com/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.

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