STD Claims Analyst - WBI

Symetra•,

12d•$22 - $37•Hybrid

About The Position

The STD Claims Analyst makes timely, accurate, and customer-focused decisions on Short-Term Disability (STD), Statutory Disability Insurance (SDI), and Absence Management (AM) claims. The role gathers and evaluates clinical, vocational, employer, financial, and other relevant information against applicable contract terms and procedural documents, then makes claim decisions and documents them in the claim system. The analyst communicates with internal and external parties, manages claims in compliance with regulatory requirements and operational standards, and works to meet or exceed team performance metrics. The position emphasizes empathetic customer service, trust-building with claimants and employers, responsive claim management, and collaboration with colleagues. Symetra offers flexible full-time or hybrid telecommuting arrangements. This is a remote-first organization with minimum internet connection standards for remote employees.

Requirements

High school diploma or equivalent work experience.
2–5 years of cumulative relevant experience.
Knowledge of disability claims.
For remote work, internet service must provide at least 100 Mbps download and 20 Mbps upload and use fiber, cable, or DSL; satellite, cellular broadband, other wireless technology, and wired dial-up are not permitted.
Must be authorized to work in the United States at hire and maintain work authorization throughout employment; employer visa sponsorship and support are not provided.
Candidates must participate in video interviews after the initial phone screen and follow identity verification procedures.

Nice To Haves

College degree.
Bilingual ability.

Responsibilities

Make timely, accurate, customer-focused decisions on new and ongoing STD, SDI, and AM claims.
Contact clinical, vocational, employer, financial, and other relevant sources to gather information.
Compare gathered information with contract terms, limitations, conditions, and applicable procedural documents, and render claim decisions promptly.
Accurately and comprehensively document claim information in the claim system while maintaining efficiency.
Prepare and communicate clear written and verbal information to internal and external parties.
Prepare, update, and use claim management plans to achieve appropriate outcomes.
Maintain compliance with regulatory requirements and operational standards.
Demonstrate proficiency in STD, SDI, and AM products and claim administration techniques.
Meet or exceed claim team operational metrics.
Provide caring and empathetic customer service, take appropriate actions to earn claimant and employer trust, and anticipate customer needs.
Collaborate flexibly with teammates, support colleagues, foster a positive work environment and high morale, and maintain professionalism and integrity.