Manager – Stop Loss Claims – Remote

Symetra • ,

7d • $96,700 - $161,200 • Remote

About The Position

In this role, you will lead daily claims operations while driving service excellence, operational effectiveness, and continuous improvement. This role is responsible for developing and enhancing claims processes, supporting business growth, and fostering a high-performing team focused on delivering exceptional customer experience. You will partner across the organization with other leaders, to ensure compliance, optimize workflows, and position the team for future success.

Requirements

• High school diploma required; bachelor's degree preferred.
• 6+ years of stop loss claims experience, including leadership or management experience.
• Strong knowledge of self-funded medical plans, stop loss claims administration, and medical terminology.
• Experience leading teams with a focus on coaching, performance management, and employee development.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent communication and relationship-building abilities.
• Able to manage competing priorities in a fast-paced environment.
• Proficient in Microsoft Office.
• Ability to travel as needed to support business and team objectives.

Nice To Haves

• Knowledge of cost containment strategies and vendor management preferred.
• Industry engagement (SIIA, SPBA, or related organizations) and professional designations are a plus.
• Connexure/ESL experience preferred.

Responsibilities

• Lead day-to-day stop loss claims operations to ensure quality, accuracy, and timely service delivery.
• Monitor performance metrics and find opportunities to improve operational results.
• Ensure compliance with applicable state and federal regulations and company policies.
• Support new customer implementations and maintain strong ongoing customer relationships.
• Handle escalated claims, payment approvals, expense adjustments, and complaint resolution.
• Partner with Legal, Compliance, and business partners to deliver a consistent customer experience.
• Identify and implement process improvements that increase efficiency and service quality.
• Partner across functions to develop and document guidelines and streamlined workflows.
• Lead or support claims-related projects, system enhancements, and operational initiatives.
• Collaborate with Quality Assurance, Training, and other partners to ensure consistent claims decisions and service delivery.
• Evaluate industry trends and benchmark practices to support ongoing innovation.
• Lead, coach, and develop a high-performing claims team.
• Support talent acquisition, onboarding, succession planning, and employee development.
• Foster a collaborative, accountable, and customer-focused culture.
• Build strong partnerships across the organization to achieve business objectives.
• Support senior leaders with strategic initiatives that impact broader stop loss organization.

Benefits

• Flexible full-time or hybrid telecommuting arrangements
• 401(k) plan with 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: Manager
• Education Level: Associate degree