Life Claims Examiner
Symetra•,
•$25 - $41•Hybrid
About The Position
The Life Claims Examiner adjudicates group life and Accidental Death & Dismemberment (AD&D) claims in a timely manner, managing claims from start to finish. The role verifies eligibility, makes initial claim decisions based on policy provisions, identifies beneficiaries, and issues accurate payments. It also provides thoughtful, responsive service to internal and external customers, and helps policyholders, brokers, and sales partners with policy administration and policy language discrepancies.
Requirements
- 2–5 years of relevant claims experience, ideally in group life, AD&D, or disability benefits.
- Understanding of insurance contracts and claims requirements, with the ability to apply them to individual cases.
- Sound judgment and careful attention to detail when reviewing evidence and making decisions.
- Ability to manage competing priorities, take ownership of work, and seek additional guidance when needed.
- Empathetic communication and ability to build effective relationships with customers, colleagues, and business partners.
- Comfort navigating claims systems and multiple applications.
- High school diploma required.
Nice To Haves
- Experience in group life, AD&D, or disability benefits.
- Salesforce experience.
- College degree.
Responsibilities
- Review and adjudicate group life and AD&D claims in accordance with policy provisions and applicable requirements.
- Investigate eligibility, gather supporting information, and apply sound judgment to claim decisions.
- Identify the correct beneficiaries and issue accurate payments with required approvals.
- Communicate claim status, outstanding requirements, and decisions clearly and compassionately.
- Maintain accurate, thorough claim records that support decisions and withstand legal review.
- Partner with the manager, legal, and external resources to resolve complex claim questions.
- Meet departmental goals for accuracy, timely claim handling, and responsive service.
- Guide policyholders, brokers, and sales partners on policy administration and help resolve policy language discrepancies.
- Identify opportunities to improve claims processes and share knowledge with teammates.
Benefits
- 401(k) plan with immediate vesting and company matching up to 6%.
- Paid vacation and sick time, flex days, and ten paid holidays.
- Company matching to support employee community giving.
- Flexible full-time or hybrid telecommuting arrangements.
- Eligibility for a company annual bonus.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
