Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Manager - Stop Loss Claims - Remote

$96.7k - $161.2k

Symetra

Bellevue, WA
  • Remote job

Symetra has an exciting opportunity to join our team as a Manager, Stop Loss Claims!About the roleIn this role, you will lead daily claims operations while driving service excellence, operational effectiveness, and continuous improvement. This role is responsible for developing and enhancing claims processes, supporting business growth, and fostering a high-performing team focused on delivering exceptional customer experience. You will partner across the organization with other leaders, to ensure compliance, optimize workflows, and position the team for future success.What you will doClaims Operations & Customer ExperienceLead day-to-day stop loss claims operations to ensure quality, accuracy, and timely service delivery.Monitor performance metrics and find opportunities to improve operational results.Ensure compliance with applicable state and federal regulations and company policies.Support new customer implementations and maintain strong ongoing customer relationships.Handle escalated claims, payment approvals, expense adjustments, and complaint resolution.Partner with Legal, Compliance, and business partners to deliver a consistent customer experience.Continuous ImprovementIdentify and implement process improvements that increase efficiency and service quality.Partner across functions to develop and document guidelines and streamlined workflows.Lead or support claims-related projects, system enhancements, and operational initiatives.Collaborate with Quality Assurance, Training, and other partners to ensure consistent claims decisions and service delivery.Evaluate industry trends and benchmark practices to support ongoing innovation.People LeadershipLead, coach, and develop a high-performing claims team.Support talent acquisition, onboarding, succession planning, and employee development.Foster a collaborative, accountable, and customer-focused culture.Build strong partnerships across the organization to achieve business objectives.Support senior leaders with strategic initiatives that impact broader stop loss organization.Why Work at SymetraHere’s what some of our employees have to say about why they work at Symetra:“If you’re looking for a company that amplifies your talents, values your voice, and encourages continuous growth, Symetra is the place. I feel incredibly lucky to have found this opportunity—and I’ve never been happier in my career!” - Gina B., Medical Risk Manager“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 ExaminerWhat we offer youBenefits and PerksWe 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 arrangementsPlan 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 holidaysGive back to your community and double your impact through our company matchingWant more details? Check out our Symetra Benefits OverviewCompensationSalary Range: $96,700 - $161,200 plus eligibility for annual bonus programWho You AreHigh school diploma required; bachelor's degree preferred.6+ years of stop loss claims experience, including leadership or management experience.Strong knowledge of self-funded medical plans, stop loss claims administration, and medical terminology.Experience leading teams with a focus on coaching, performance management, and employee development.Knowledge of cost containment strategies and vendor management preferred.Industry engagement (SIIA, SPBA, or related organizations) and professional designations are a plus.Strong analytical, problem-solving, and decision-making skills.Excellent communication and relationship-building abilities.Able to manage competing priorities in a fast-paced environment.Proficient in Microsoft Office; Connexure/ESL experience preferred.Ability to travel as needed to support business and team objectives.Travel:Required Training & Professional DevelopmentAll newly hired people leaders with direct reports are required to complete a comprehensive leadership development program within their first year. This program includes both virtual and in-person training. The in-person sessions will take place at Symetra’s corporate headquarters in Bellevue, Washington. Symetra covers all travel and accommodation expenses.Reasonable AccommodationsSymetra is committed to providing equitable access to all job-related responsibilities, including required travel. If reasonable accommodations are needed for travel, Symetra’s HR department will work to provide appropriate solutions in alignment with individual needs and company policies.We empower inclusionAt 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 freedomSymetra 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: AuthorizationEmployer 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.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 outlined above.Identity VerificationSymetra 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 processWithdrawal of a job offerTermination of employment and other criminal and/or civil remedies, if fraud is discovered #J-18808-Ljbffr Symetra

Vacancy posted 15 hours ago
Similar jobs that could be interesting for youBased on the Manager - Stop Loss Claims - Remote in Bellevue, WA vacancy
  • $140k - $155k

    Amwins in Seattle is seeking a Manager for Stop Loss Claims to oversee complex claims, applying expert judgment to enhance outcomes. This role involves mentoring claims professionals and collaborating with internal teams for effective claim adjudication. The ideal candidate... 
    Remote job
    Claims

    Amwins

    Seattle, WA
    15 hours ago
  • Imagine360, LLC is looking for a Stop Loss Claims Auditor to join their team in a fully remote capacity. This individual will work within the Stop Loss Department, ensuring claims are examined, audited, and processed accurately to support multiple functions. The ideal candidate... 
    Remote job
    Claims

    Imagine360, LLC

    New York, NY
    2 days ago
  • Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. This role covers underwriting...  ...collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned... 
    Remote job
    Claims

    Acrisure

    Phoenix, AZ
    15 hours ago
  • Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. You will underwrite new business...  .... Collaboration with sales, clinical, policy, and claims teams is essential to deliver sound underwriting... 
    Remote job
    Claims

    Acrisure

    Brooklyn, NY
    4 days ago
  • Allied Benefit Systems, Inc. is seeking a Stop Loss Claims Specialist II to manage medical stop loss claims and ensure reimbursements from carriers. The...  ..., and proficiency in Microsoft Office. This fully remote position offers a competitive salary and generous benefits... 
    Remote job
    Claims
    Work at office

    Allied Benefit Systems, Inc.

    Chicago, IL
    4 days ago
  • Prudential is seeking a Head of Stop Loss Claims to build and lead the claims organization within Medical Stop Loss operations. This remote role focuses on developing scalable workflows, driving innovation in claims processes, and delivering an exceptional experience for... 
    Remote job
    Claims

    Prudential Ins Co of America in

    Newark, NJ
    5 days ago
  • Manager, Stop Loss Claims(Remote)Amwins Accident & Health Underwriters, formerly known as Beacon Risk Strategies, is conducting a search looking for an experienced Manager, Stop loss Claims.Amwins Accident & Health (Amwins A&H) has primary locations in Seattle, WA and... 
    Remote work
    Claims
    Contract work
    Work at office

    Amwins

    Seattle, WA
    3 days ago
  •  ...all 50 states. We developed proprietary claims technology, expanded our offerings to include...  ...We are seeking a Director of Claims & Stop-Loss Transformation to lead strategic...  ...operational analytics, and organizational change management. This individual must be comfortable... 
    Remote work
    Claims
    Contract work
    Work at office

    S&S Healthcare

    Cincinnati, OH
    23 days ago
  • $60k - $70k

    Medical Stop Loss Underwriter - Remote! A growing and innovative organization in the healthcare insurance and risk solutions space is seeking a detail...  ...underwriting guidelines Analyze specific and aggregate claims experience and risk parameters Review large claim... 
    Remote job
    Claims
    Immediate start

    Daley And Associates, LLC

    Villa Park, IL
    4 days ago
  • $90k - $125k

     ...possible. Job Summary:The Senior Stop Loss Underwriter is responsible for evaluating, pricing, and managing risk for employer-sponsored...  ...sales, clinical, policy, and claims teams to deliver sound...  ...underwriting models and rating tools#LI-Remote#LI-SS1Pay Details:The base... 
    Remote work
    Claims
    Full time
    Contract work
    Immediate start
    Flexible hours

    Acrisure

    Chicago, IL
    4 days ago
  •  ...our Group Insurance Medical Stop Loss (MSL) Distribution team. As a...  ...Business Development:Build and manage MSL producer partnerships...  ...underwriting, commissions, contracts, claims, etc.).Coordinating Marketing...  ...to travel up to 50%This is a remote role.#LI-INWhat we offer you:... 
    Remote work
    Claims
    Full time
    Part time
    Work at office

    PGIM

    Chicago, IL
    5 days ago
  •  ...benefit brokers and consultants, stop loss carriers, and various...  ...financial interests. This is role is remote; however, it will require...  ...needs and provide proactive risk management recommendations. Conduct...  ...underwriters, actuaries, and claims professionals, to develop... 
    Remote job
    Claims
    Full time
    Work at office
    Work from home

    CRC Group

    Phoenix, AZ
    5 days ago
  • $53.9k

     ...00-year history of helping our customers manage risk with laser-focused expertise, integrity...  ...ever-changing insurance market.The C&F Stop Loss Accounting department of the Accident &...  ...is position will interact internally with Claims, Policy, Digital Transformation, IT, Actuarial... 
    Remote work
    Claims

    Crum & Forster

    Eatontown, NJ
    3 days ago
  • $70k - $80k

     ...Senior Account Manager For Managed Care As a Senior Account Manager...  ...activity associated with our stop loss accounts, providing support...  ...in the office; and 1 day remote where it makes sense to do so...  ...execution. Broker liaison with BAH claim and finance departments.... 
    Remote work
    Claims
    Full time
    Work at office

    W.R. Berkley

    Trenton, NJ
    3 days ago
  • $90k - $110k

     ...Accident and Health is a risk management company that designs...  ...products, including employer stop loss, benefit captives, provider stop...  ...position can either be fully remote (if not within commutable distance...  ...Company’s clinical, actuarial, claims and distribution departments,... 
    Remote work
    Claims
    Full time
    Work at office

    W. R. Berkley Corporation

    Mercerville, NJ
    1 day ago
  •  ...strategic workforce solutions that help you manage your talent and business more efficiently...  ...for the retention of existing stop-loss accounts and growing new business where appropriate...  .../groups relative to marketplace trends, claim procedures, and health industry... 
    Claims
    Contract work

    Integrated Resources Inc.

    Newark, NJ
    4 days ago
  • Imagine360 is seeking a Stop Loss Claims Auditor to join the team! This position is part of the...  ...and procedures. Position Location: 100% remote Responsibilities Demonstrate above...  ...and reporting of stop loss violations. Manage large case notification process. Manage... 
    Remote work
    Claims
    Temporary work
    Work at office

    Imagine360, LLC

    New York, NY
    2 days ago
  • $34.8k

     ...Claims Support Specialist Since 2000, Crum & Forster's Accident...  ...to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary...  ...Phoenix metro area, but open to remote for the right candidate. We...  ...submissions into the claims management system Monitor and manage... 
    Remote work
    Claims
    Work at office

    Crum & Forster

    Phoenix, AZ
    3 days ago
  • $107k - $140k

    Sr. Manager, Stop Loss Claims Operations - Healthcare TPA Because health is personal. That's why Personify Health created the first and only personalized...  .... Work Location: This position offers flexibility for remote candidates. For candidates residing within commuting... 
    Remote work
    Claims
    Contract work
    Work at office

    Personify Health

    Tempe, AZ
    5 days ago
  •  ...Mortgage Servicing Specialist –Loss Mitigation Coordinator Job...  ...Location: Grand Rapids, MI Remote Type: Onsite Position Type...  ...to detail, and excels at managing multiple priorities. Founded...  ...costs, fees, and reimbursement claims to GSEs Ensure files remain... 
    Remote work
    Claims
    Full time
    Temporary work
    Work at office
    Local area

    Member First Mortgage LLC

    Grand Rapids, MI
    more than 2 months ago
  • $67.9k

     ...history of helping our customers manage risk with laser-focused...  ...tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary...  ...for high-cost, complex claims through strategic identification...  ...giving. #LI-JA1 #LI-Remote #J-18808-Ljbffr Crum & Forster
    Remote work
    Claims
    Flexible hours

    Crum & Forster

    Eatontown, NJ
    5 days ago
  •  ...a Healthcare Account Analyst to serve as the liaison between MedVanta DTE Clients and MSK services, reviewing and processing Stop Loss claims. This role builds positive client relationships, provides education, and analyzes client claim losses with timely reporting. The... 
    Claims

    MedVanta, LLC

    Bethesda, MD
    5 days ago
  • $163k - $220k

     ...Location: San Francisco / US Remote About the Role Anaplan...  ...than strong program management. We are looking for an...  ...to scale, adjust, or stop initiatives based on results...  ..., adoption, win/loss, and other performance...  ...emails and correspondence, claiming they are representatives... 
    Remote work
    Claims

    Anaplan

    San Francisco, CA
    2 days ago
  • $28.93 - $48.24 per hour

     ...opportunity to join our West Region Stop Loss Benefits team as an Account Manager!     About the role   As...  ...Monthly monitoring of account claim reporting requirements, premium remittances...  ...their employment with our company.     #LI-MT1 #LI-Remote... 
    Remote work
    Claims
    Hourly pay
    Full time
    Contract work
    Work experience placement
    Immediate start
    Work from home
    Home office
    Flexible hours

    Symetra

    Remote
    1 day ago
  •  ...binding authority, and program management. The common thread woven...  ...Underwriter specializing in stop loss insurance to join our dynamic...  ...the Phoenix, AZ area working remotely ; however, highly qualified...  ...employer group data, including claims experience, demographics, plan... 
    Remote job
    Claims
    Work at office

    Jencap

    Phoenix, AZ
    2 days ago
  •  ...a Clinical Risk Specialist RN to provide high quality case management and claims management consulting, including identification, assessment...  ...state, with at least two years of clinical and two years in stop loss/health payer experience. Occasional travel may be required.... 
    Remote job
    Claims

    Captive Resources, LLC

    Itasca, IL
    4 days ago
  • $400k

     ...Description Job Description This is a fully remote opportunity. Gradient AI: Gradient...  ..., and automate underwriting and claims. Our SaaS platform taps into one of the industry...  ...expertise in AI-powered underwriting and stop loss analytics, and clearly communicate how... 
    Remote work
    Claims
    Contract work
    Work from home
    Flexible hours

    Gradient AI

    Boston, MA
    more than 2 months ago
  • $135k - $175k

     ...flexibility and trust our employees to manage their schedules responsibly. This may include occasional remote work, starting the day with morning...  ...health plans, including working with TPAs, stop-loss carriers, and understanding claims data to drive cost and quality... 
    Remote work
    Claims
    Full time
    Contract work
    For contractors
    For subcontractor
    Casual work
    Work at office
    Worldwide
    Day shift

    Applied Intuition

    Sunnyvale, CA
    8 hours ago
  • A leading insurance provider is hiring a Claims Support Specialist in the Phoenix area to coordinate claims intake and assist the claims team. This role requires strong organizational skills and a commitment to customer service. The candidate should have a high school... 
    Remote job
    Claims
    Work at office

    Crum & Forster

    Phoenix, AZ
    5 days ago
  •  ...Self Fund Health Account Manager Remote · Full time The Account Manager owns the full employer...  ...from groups and brokers — plan design, claims status, billing, vendor coordination,...  ...analysis to the sales team for stop-loss negotiations Plan and deliver open enrollment... 
    Remote work
    Claims
    Full time
    Contract work
    Shift work

    HealthX Ventures

    United States
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Manager - Stop Loss Claims - Remote. Be the first to apply!