Symetra has an exciting new opportunity to join our team as an LTD Claim Consultant!

About the role

In this role, you will work in the LTD Claims department handling claims for professionals (i.e. attorneys, physicians), high wage earners, and those of complex nature. You will proactively and autonomously partner with available resources to assist in making initial and ongoing decisions and action plans, as well as support case managers and senior case managers in claim adjudication.You will also act as a technical claim resource/leader/expert for the LTD department.

What you will do

• Orchestrate the implementation of complex claims that require sequencing for multiple actions and involve multiple parties.
• Manage a caseload of pending and ongoing files that may require a very in-depth knowledge of the contract document and detailed understanding of risk management.
• Adjudicate claims that often have attorney representation.
• Remain fully compliant with all appropriate state and federal guidelines and regulations.
• Make timely decisions and communicate them thoroughly to appropriate parties in writing and verbally.
• Use appropriate resources for claim management, balancing risk management with expense management.
• Work closely with legal department. Use vendors in areas of investigation, financial consulting, medical reviews, and social security advocacy. Conduct field visits on behalf of the company or using an approved vendor to do so.
• Train case managers on field visits, acquiring CPT codes/ RVU reports, billable hours, commission statements, and other professional productivity reports for analysis in determining pre-disability occupation and opportunity for return to work. Provide mentoring on claim settlement discussions.
• Identify files within case manager caseloads to take ownership of by reviewing reports and receiving manager/team lead feedback. Collaborate with case managers on the reassignment of those files and provide coaching where appropriate.
• Foster a professional culture, act as a leader and encourage collaboration and change management. Promote advances/changes in industry standards to case managers.
• Identify trends within the team for training opportunities and work with team leads to provide technical guidance through the delivery of training.
• Provide management with insight into causes and solutions for trends in case management.
• Develop reporting to identify possible claims following identified trends for opportunity.
• Provide customer service and strengthen relationships with brokers, policyholders, and employees. Proactively connect with these parties in anticipation of potential difficult situations.
• Liaise with account management/sales support to address opportunities for collaboration between sales and claims.
• Seek out opportunities for continuous process improvement and possible efficiency gains.

Why Work at Symetra

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

"Symetra is a great place if you are looking for the opportunity to contribute, to grow, to be seen and valued." Vernell K. - Auditor

"If you want to work for a company that is always considering its employees while working towards sustainable growth this is that company.Within Symetra, there is always innovation, empowerment, and growth opportunities, all while providing us with a great work/life balance and incredible benefits for a very reasonable cost!"Cindy G. - Program Manager

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

Compensation

Salary Range: $62,300 - $103,800plus eligibility for annual bonus program

Your experience and skills

• College degree or equivalent business experience required.
• 6+ years of experience in LTD or IDI claims required.
• Knowledge of federal and state guidelines and regulations, including ERISA; general knowledge of disability contracts.
• Experience acting as a formal mentor in LTD claims preferred.
• Experience assessing physician or attorney disability claims is a plus.
• Experience conducting field visits/negotiating settlements is preferred.
• Strong conflict resolution and problem-solving skills.
• Excellent written and verbal communication skills.
• Great at multi-tasking and thinking critically.
• High attention to detail and strong deadline management.
• Financial and mathematical knowledge, i.e., must be able to read and interpret financial documents such as profit and loss, tax returns. Able to perform complex calculations of proportionate loss of incomes, in accordance with contracts.
• Comfortable at independent decision making.
• Proficiency with the MS Office Suite and expert use of Excel
• Adept at reading and interpreting internal reporting, business results and departmental impact.
• Receptive to feedback and able to adapt as needed.
• Comfortable speaking publicly to peers and/or sitting on panels for industry meetings.
• Good at networking and maintaining relationships.

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 .

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

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.

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