Claims Consultant - Remote

Symetra•,

3d•Remote

About The Position

The Claims Consultant is the primary claims support resource for service teams, field partners, brokers, and clients in the small and mid-sized market segment. The role serves as a central contact for claims inquiries, providing timely updates, resolving issues, offering claims guidance, and supporting service delivery while minimizing unnecessary direct examiner involvement. The Claims Consultant works closely with claims leadership, examiners, service teams, underwriting, sales, and external partners to improve the client experience and address claims concerns proactively. The position requires claims knowledge, strong communication and relationship-management skills, sound judgment, and the ability to independently manage a high volume of inquiries across multiple accounts. This is a remote-first role. Employees are expected to meet Symetra's stated internet requirements and participate in a cameras-on culture.

Requirements

At least 2 years of claims, insurance operations, customer service, account management, or related experience.
Bachelor's degree or equivalent combination of education and relevant work experience.
Strong knowledge of disability, leave, life, and/or workforce benefits claims operations.
Demonstrated ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

Property & Casualty insurance industry experience.
Experience supporting commercial insurance clients and brokers.
Professional insurance or claims-related certifications and designations.
Prior client-facing or account support experience.

Responsibilities

Serve as the primary point of contact for claims-related inquiries from service teams, field partners, brokers, and clients.
Research and provide accurate, timely claims information using claims systems, portals, and internal resources.
Resolve routine claims questions independently and efficiently, reducing unnecessary examiner engagement.
Translate complex claims information into clear, customer-friendly communication that supports informed decision-making.
Participate in client meetings, stewardship reviews, and broker or field partner discussions to address claims-related questions and concerns.
Provide claims expertise, guidance, and recommendations as a trusted advisor.
Support service recovery efforts and proactively identify solutions that improve client satisfaction.
Help clients understand claims processes, workflows, and claim outcomes.
Improve operational efficiency by resolving issues upstream and minimizing workflow disruptions.
Reduce handoffs between service teams and claims examiners through effective issue resolution and claims support.
Navigate claims systems and workflows to provide updates, facilitate issue resolution, and support service delivery.
Manage multiple accounts and competing priorities while maintaining service standards and responsiveness.
Identify complex, sensitive, or high-impact issues requiring escalation and involve claims leadership as appropriate.
Collaborate with claims examiners, service teams, underwriting, sales, and leadership to resolve issues effectively.
Facilitate communication and problem-solving discussions between stakeholders.