Life Claims Examiner

Symetra • ,

11d • $25 - $41 • Hybrid

About The Position

Responsible for timely adjudication of group life, AD&D, verifying eligibility and making the initial claim decision based on the policy. Responsible for making accurate payments to the correct beneficiaries. Strong desire to provide world class service to both internal and external customers.

Requirements

• High school diploma or equivalent work experience, college degree a plus.
• Previous Life and Disability claims experience required.
• 1-2 years of cumulative relevant experience preferred.
• 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.

Responsibilities

• 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.
• Reaches out to the policyholder and beneficiaries regarding outstanding requirements.
• Consults with manager regarding potential referrals to Legal Department and medical resources when needed.
• 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.
• Life claim specific: Determines correct payee and accurately issues payments with next level approvals.
• Educates and coaches the policyholder, brokers/agents and Symetra sales representatives on proper policy administration when needed.
• Identifies potential policy language discrepancies and works with the Symetra sales representatives to correct if necessary.

Benefits

• Flexible full-time or hybrid telecommuting arrangements.
• 401(k) plan and take advantage of 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 community contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED