Sr. LTD Claims Analyst

About the role We're seeking a Sr. LTD Claims Analyst. This Position is responsible for contributing to the overall success of Departmental Objectives by providing timely and accurate support to our Client Companies and The Claims Department. Obtain and analyze information in order to make claim decisions and payments on disability claims. Develop and apply appropriate claim and disability management techniques to ensure prompt and accurate payment and liability management of disability claims. Provide responsive customer service to claimants, policyholders, brokers, and internal departments.

What you will do

• Promptly and thoroughly investigates claims within departmental and regulatory guidelines.
• Interprets and administers contract provisions including, but not limited to, eligibility, covered monthly earnings, definition of Total Disability, verification of applicable offsets and pre-existing investigations.
• Develops, implements and modifies disability management plans to establish strategy and manage outcome.
• Documents claim file actions and telephone conversations appropriately.
• Participate in departmental Focus Reviews.
• Identifies and investigates changes in Total Disability definition.
• Refers claim activity outside authority level to Supervisor/Manager for review.
• Pro-actively communicates with claimants, policyholders, and physicians to resolve investigations issues.
• Establishes, communicates and manages claimant and policyholder expectations.
• Utilizes most efficient means to obtain claim information.
• Fully investigates all relevant claim issues, provides payment or denials promptly and in full compliance with departmental procedures and Unfair Claims Practice regulations.
• Responds to customer service issues within required timeframes to meet customer expectations.
• Involves technical resources (Social Security Specialist, medical resources, vocational resources) at appropriate claim junctures.
• Supports relationships with technical resources to achieve optimal financial outcomes.
• Actively contributes to departmental service, quality and financial objectives.
• Remains current with all corporate and disability management practices.
• Coaching and mentoring responsibilities for team members in addition to effectively managing caseload.
• Collaborates with team members and management in identifying and implementing improvement opportunities.
  
  

What we offer you

Benefits and Perks

We don't take a "one-size-fits-all" approach when it comes to our employees. Our programs are designed to make your life better both at work and at home.

• 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
• Want more details? Check out ourSymetra Benefits Overview

Compensation

Salary Range: $58,300 - $97,200 plus eligibility for annual bonus program

Who You Are:

• BA/BS or equivalent combination of education and insurance industry experience.
• 3 years of claims adjudication experience with LTD disability claims.
• Experience with computer applications Word, Excel, Outlook desired.
• Work experience in decision-making and information analysis.
• Ability to meet deadlines while balancing competing demands.
• Good math and calculation skills.
• Experience meeting or exceeding quotas.
• Experience establishing and maintaining cooperative working relationships with internal and external customers.
• Analytical skills.
• Ability to travel as needed.
• Clear and concise verbal and written communication skills.
• Prior experience coaching staff to enable excellence in customer service and claims management while demonstrating role model behavior.
• Knowledge of medical terminology
  

Preferred Job Qualifications:

• Strong financial background
• Fluency in Spanish is highly preferred.
• Completion of HIAA, LOMA or ICA courses

We empower inclusion

At Symetra, we aspire to be the most inclusive insurance company in the country. We're building a place where every employee feels valued, respected, and has opportunities to contribute.

Inclusion is about recognizing our assumptions, considering multiple perspective, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our effortshere.

Creating a world where more people have access to financial freedom

Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we're guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they're buying, and we design products-and operate our company-to stand the test of time. We're committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom.

For more information about our careers visit:https://symetra.eightfold.ai/careers

Work Authorization

Employer work visa sponsorship and support are not provided for this role. 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.