Claims Examiner, Sr. jobs in Kansas

Symetra has an exciting opportunity to join our team as Claims Examiner for Supplemental Health!

About the role

 In this role, you will primarily make claim decisions for our critical illness, scheduled or group accident and hospital indemnity supplemental health products and may also work with our limited benefit medical (LBM), and/or minimum essential coverage (MEC) products.

What you'll do in this role

• Make timely, accurate, and customer-focused claim decisions
• Reach out to internal and external sources to gather relevant medical, financial, legal, and/or general data, as needed on a claim-by-claim basis
• Compare information received to the applicable contract and procedural documents and render the claim decision as quickly as possible
• Engage peers and management as appropriate
• Document the claim systems in an accurate and comprehensive manner
• Prepare and disseminate written and verbal communication to internal/external contacts as needed
• Remain in compliance with regulatory requirements and operational standards
• Demonstrate proficiency in supplemental health products and claim administration techniques
• Quickly resolve issues or concerns with payments, voids, refunds, and re-pricing issues
• Work as a team to support one another through flexibility, collaboration, creating a positive work environment, maintaining professionalism and integrity, and actively taking steps to foster high morale, while demonstrating a dedication to excellence
• Other special projects or tasks as assigned

What we offer you

“If you want to invest in yourself and build a career, this is a great place to work. If you don't want to put in the effort to learn the industry and become a student of the business (it takes real effort!), there are easier places to work.” Cris H. - AVP Internal Sales, Training and Development 

“Symetra is inclusive of all employees regardless of their personal differences.” Darrell J. - Actuary III 

“Symetra values learning. Symetra has so many resources - whether that is the Student of the Business courses, sponsorship of professional certifications, or just individual employees being so willing to teach and answer questions.” Felicia D. - Financial Reporting Lead Senior Analyst 

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 Overviewopens a pdf file

Compensation

Hourly Salary Range: $21.00- $35.19 plus eligibility for annual bonus program 

Who you are

•  High School Diploma or equivalent
• 3-5 years related work experience required
• 2 years’ experience adjudicating Critical Illness and/or accident claims required
• Proven experience reading and interpreting insurance/legal contracts a plus
• Solid understanding of the Microsoft Office Suite of applications, especially Access, Word, and Excel
• Excellent customer service skills with the ability to showcase genuine care and empathy
• Adept math skills
• Excellent verbal and written communication skills
• Reliable, organized, and flexible
• High attention to detail
• Able to handle multiple projects and prioritize workflow

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 perspectives, 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:

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.

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