STD Case Manager

Symetra • ,

37d • $22 - $37 • Hybrid

About The Position

Make timely, accurate, and customer-focused Short-Term Disability, and/or Statuatory Disability Insurance, and/or Absence Management claim decisions. Proactively reach out to clinical, vocational, employer, financial, and other informational internal and external sources to gather relevant data, compare it to the applicable contract/administrative agreement and procedural documents, conduct an analysis, and engage peers and management as appropriate. Communicate verbally and in writing and fully leverage the claim system with accurate and comprehensive information. Maintain performance at or above departmental metrics. Be nimble and agile.

Requirements

• High school diploma or equivalent work experience, college degree a plus.
• Excellent communication, decision-making, and organizational skills.
• Strong customer service and problem-solving skills.
• Able to manage multiple priorities concurrently with attention to detail.
• Proficiency with the Microsoft Office Suite required.
• 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.

Nice To Haves

• 3+ years of STD claims experience preferred.
• Knowledge of STD, SDI, and Absence management products and relevant regulations preferred.
• Understanding of medical terminology, anatomy, and pathology preferred.
• Claim Vantage experience a plus.
• NY Independent Adjuster license or industry certifications (e.g., FMLA Specialist) are a plus.

Responsibilities

• Make timely, accurate, and customer-focused STD, SDI, and AM new and ongoing claim decisions.
• Reach out to obtain relevant clinical, vocational, employer, financial, and other information.
• Compare the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and render the claim decision as quickly as possible.
• Document the claim systems in an accurate and comprehensive manner while maintaining maximum levels of efficiency.
• Prepare and disseminate articulate written and verbal communication to assorted internal and external sources.
• Prepare, update, and utilize a claim management plan to attain the most appropriate outcome.
• Remain in full compliance with regulatory requirements.
• Demonstrate an above average level of proficiency in STD, SDI, and AM product and claim administration techniques.
• Remain fully compliant with operational standards.
• Meet or exceed claim team operational metrics.
• Maintain a superior level of genuine caring and empathetic customer service throughout all interactions.
• Take appropriate actions to earn the claimant’s and employer’s trust and confidence.
• Anticipate customer needs and take action.
• Work as a team to support one another through flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence.

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: Mid Level
• Education Level: High school or GED