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LTD Claims Analyst - Remote

LTD Claims Analyst - Remote

SymetraBellevue, Washington, United States
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Symetra has an exciting opportunity to join our team as a Long-Term Disability Claims Analyst!

About the role

In this role, you'll make timely, accurate, and customer-focused claim decisions. You'll collaborate with clinical, vocational, financial, and employer resources to gather and analyze data, compare it to policy terms, and determine claim outcomes. You may also support claim settlement efforts and / or ongoing maintenance of claims, ensuring optimal outcomes and compliance with regulatory standards.

What you will do

  • Evaluate new and ongoing LTD claims promptly and accurately.
  • Analyze medical, vocational, and financial information to determine liability and eligibility.
  • Apply contract language and procedural guidelines to claim decisions.
  • Document claim decisions thoroughly in the system.
  • Maintain accurate record keeping of communications with claimants, providers, employers, and internal partners.
  • Build and maintain claim management plans for optimal outcomes.
  • Identify and support settlement opportunities as applicable.
  • Collaborate with internal resources (e.g., Actuaries, CPAs, Medical Clinicians) to support claim adjudication.
  • Ensure compliance with ERISA, HIPAA, Fair Claim Settlement Practices Acts, and other statutory regulations.
  • Deliver empathetic, customer-first service throughout all interactions.
  • Support training and mentoring of team members as needed.
  • Assist in identifying needs for evaluations such as FCEs, IMEs, and peer consultations.
  • Foster a collaborative and professional team environment.

Why Work at Symetra

Here's what some of our employees have to say about why they work at Symetra :

"What I was searching for was a company that genuinely valued my voice-and I found that at Symetra. I truly enjoy working one-on-one with our customers, especially when they're going through life's toughest moments. Being able to offer support and hear their relief and gratitude when we help-it's deeply meaningful. That's what makes me proud to be part of the Symetra team." - Lilly H., Claims Team Lead

"I chose Symetra because I heard it was a pro-employee company-and it's absolutely true. The work environment is supportive, the people are great, and the benefits are generous. Symetra truly cares about its employees. The relaxed atmosphere and opportunities to learn and grow-both within your role and beyond-make it a great place to build your career." - Alicia L., Claims Examiner

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 our Symetra Benefits Overview
  • Compensation

    Salary Range : $53,000 - $88,400 plus eligibility for annual bonus program

    Who You Are

  • High School Diploma required; college degree preferred.
  • 2+ years of LTD claims experience required.
  • Experience with claim maintenance and / or settlement claims highly preferred.
  • Solid understanding of disability claim processes, medical terminology, and legal / regulatory frameworks.
  • Proven analytical, negotiation, and conflict management skills.
  • Strong written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Proficiency in the Microsoft Office Suite.
  • Experience with Fineos a plus.
  • Pursuing a NY Independent Adjuster license or industry designations (e.g., FLMI, CPDM) is a plus.
  • Please review Symetra's Remote Network Minimum Requirements :

    As a remote-first organization committed to providing a positive experience for both employees and customers, Symetra has the following standards for employees' internet connection :

  • Minimum Internet Speed : 100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband."
  • Internet Type : Fiber, Cable (e.g., Comcast, Spectrum), or DSL.
  • Not Permissible : Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up.
  • When applying to jobs at Symetra you'll be asked to test your internet speed and confirm that your internet connection meets or exceeds Symetra's standard as outlinedabove.

    Identity Verification

    Symetra is committed to fair and secure hiring practices. For all roles, candidates will be required (after the initial phone screen) to be on video for all interviews. Symetra will take affirmative steps at key points in the process to verify that a candidate is not seeking employment fraudulently, e.g. through use of a false identity.

    Failure to comply with verification procedures may result in :

  • Disqualification from the recruitment process
  • Withdrawal of a job offer
  • Termination of employment and other criminal and / or civil remedies, if fraud is discovered
  • 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 efforts here.

    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 : 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.

    #LI-NW1

    #LI-Remote

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