Manager - STD and Absence Claims - Remote

Symetra

5d • Remote

About The Position

Symetra is seeking a Manager to join our Short-term Disability and Absence
Claims Team!

About the role

In this role, you will manage a team of case managers who adjudicate short-term
disability and/or absence management claims (federal, state and company specific
leaves). You will direct and motivate your team to get results in line with
department goals focused heavily on quality, time, and the customer experience.

In addition, you will develop strategies to improve departmental structure and
procedures based on team performance, market requirements, and growth
initiatives. You will supervise employees, provide guidance and mentorship on
general claim policy, time management, adherence to performance guarantees and
customer expectations.

Requirements

• College degree preferred. High School Diploma required.
• 5+ years of experience in STD and Absence Management claims required.
• 3+ years of management experience preferred.
• Excellent verbal and written communication skills across multiple levels of leadership within an organization.
• Comfortable speaking publicly to internal and external groups of various sizes.
• Proven project management and change management skills.
• Proficient with Microsoft office, specifically Excel and PowerPoint. PowerBI a plus.
• Adept with reporting, data, and trend analysis.
• Collaborative and empowering leader who fosters a productive and professional team environment.
• Expert customer service, conflict resolution and negotiation skills.

Nice To Haves

• CLMS a plus.
• Claim Vantage/Salesforce experience preferred.
• Fineos experience a plus.

Responsibilities

• Analyze reporting for trends and opportunities for improvement on the team and individual levels. Develop, implement and evaluate plans aimed at correcting areas for improvement.
• Understand data integrity and ensure accuracy of data in the claim system. Create new reporting as needed.
• Conduct claim audits and segment reviews to ensure quality of work and identify coaching opportunities.
• Direct work assignments and review work in progress. Constantly monitor workflows and production to ensure timeliness and accuracy.
• Review and sign off on claim decisions including adverse claim decisions.
• Work closely with team leads and case managers to understand opportunities that may not be identifiable through reporting.
• Ensure adherence to legal and operational compliance.
• Continuously build subject matter expertise. Demonstrate technical knowledge of policies and procedures, and maintain a detailed knowledge of ERISA, state guidelines, claim practices and general accounting.
• Liaise with legal department on complex issues.
• Uses expertise to balance risk management and customer service.
• Represent the department and company in external meetings including finalist presentations as needed.
• Provide support to sales and implementation through broker/customer support inquiries.
• Educate field personnel on claim process and philosophy.
• Resolve issues and disputes to provide service to customers without sacrificing risk management.
• Oversee staff, with responsibility for hiring, performance management, training and development. Build an effective team where aggregate results meet department expectations.
• Develop staff members in accordance with company and personal goals.
• Promote advances and changes in industry standards with case managers.
• Lead and participate in special projects as needed.

Benefits

• Flexible full-time or hybrid telecommuting arrangements
• Plan for your future with our 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
• Give back to your community and double your impact through our company matching

What This Job Offers

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