Manager - Stop Loss Claims - Remote
$96.7k - $161.2kSymetra
- 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
$140k - $155k
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