Manager - Stop Loss Claims - Remote
$96.7k - $161.2kSymetra Financial Corporation
- Remote job
You may have seen in the media that job posting scams are on the rise. Symetra is committed to creating a positive candidate experience without putting you at risk. As such, applications for our open job postings are only collected through our secure career site and we are transparent about our. We also do not send funds to candidates or request funds from candidates, via check or otherwise. If you experience something different than what we outline in our process or would like to report suspicious activity, please contact us.- Relevant skills and experience will be listed so you know why those jobs are a match**Symetra** has an exciting opportunity to join our team as a **Manager, Stop Loss Claims!****About the role**In 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 do*** **Claims Operations & Customer Experience**+ Lead 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 Improvement**+ Identify 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 Leadership**+ Lead, 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 Symetra**Here'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 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**Compensation**Salary Range: $96,700 - $161,200 plus eligibility for annual bonus program**Who You Are*** High 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 Development**All 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 Accommodations**Symetra 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 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:**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.**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, #J-18808-Ljbffr Symetra Financial Corporation
$96.7k - $161.2k
...Description In this role, you will lead daily claims operations while driving service... ...Customer Experience ~Lead day-to-day stop loss claims operations to ensure quality, accuracy... ...experience, including leadership or management experience. ~Strong knowledge of self...Remote workClaimsFull timeWork at officeImmediate startFlexible hours$66k - $125k
...Sr. Claims Specialist Join to apply for the Sr. Claims Specialist role at Lockton... ...Responsibilities Responsible for managing the full lifecycle of stop loss claim submissions with minimal... ...Preferred location: Plano but open to remote Seniority level: Mid-Senior level Employment...Remote workClaimsFull time- Questpro is seeking a Remote Stop Loss Claims Analyst to manage claims processes and eligibility determinations. The role involves interacting with internal teams, clients, and carriers to ensure timely processing of stop loss claims, and requires 3-5+ years of relevant...Remote jobClaimsWork at office
- Imagine360, LLC is seeking a Senior Stop Loss Specialist to join the team remotely. This role coordinates tracking,... ...documenting, and submission of stop loss claims and maintains a thorough... ...documents under their scope. You will manage claims with carriers, enter data...Remote jobClaims
- 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 jobClaimsWork at office
$70k - $90k
...Accident and Health is a risk management company that designs... ...products, including employer stop loss, benefit captives, provider stop... ...Responsibilities As a Stop Loss Claims Analyst (aka Auditor), you'll... ...position can either be fully remote (if not within a commutable distance...Remote workClaimsFull timeWork at office- ...Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $76,000-125,500K Claims Specialist - Accident and Health (Medical Stop Loss) The Opportunity The purpose of... ...Medical Stop Loss customers by managing complex medical stop loss claims effectively...Remote workClaimsFull timeWork experience placementWork at officeWork from home
$90k - $110k
...Accident and Health is a risk management company that designs... ...products, including employer stop loss, benefit captives, provider stop... ...the United States. #LI-AV1 #LI-Remote The Company is an equal employment... ...’s clinical, actuarial, claims and distribution departments,...Remote workClaimsFull timeWork at office$40k - $50k
...Description Imagine360 is seeking a Stop Loss Specialist to join the team!... ...and submission of stop loss claims. This position maintains a... .... Position Location: 100% remote Responsibilities include... ...limited to: ~Stop Loss Claims Management ~Compiles and submits stop...Remote workClaimsFull timeTemporary workWork at office$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 jobClaimsImmediate start$88k - $145k
Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $88,000-145,000 Opportunity... ...claims service to customers by managing complex claims effectively....Remote workClaimsFull timeWork experience placementWork at officeWork from home$107k - $140k
...enterprise function? Why This Role Matters Stop loss is where financial risk, operational... ...role sits at the center of it. As Senior Manager of Stop Loss, you're not just managing a... ...reimbursement outcomes: Own the results across claim filings, reimbursement recovery, and cash...ClaimsFull timeContract workWork at office- ...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...ClaimsContract work
- ...benefit brokers and consultants, stop loss carriers, and various... ...financial interests. This role is remote; however, it will require... ...needs and provide proactive risk management recommendations. Conduct... ...underwriters, actuaries, and claims professionals, to develop comprehensive...Remote jobClaimsFull timeTemporary workWork at officeWork from homeShift workDay shift
- ...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 jobClaimsWork at office
$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 workClaimsWork at office- CVS Health is seeking a Senior Project Manager - Health Insurance to lead cross-functional initiatives within the Stop Loss portfolio. You will guide planning, execution, and... ..., and drive strategic outcomes. Hartford or remote in ET/Central time zones. #J-18808-Ljbffr...Remote job
$140k - $155k
...Job Description Job Description 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...Remote workClaimsContract workWork at office- ...leading healthcare provider is seeking a knowledgeable claims analyst to review and process Stop Loss claims according to established standards. The... ...responsible for evaluating complex claims submissions, managing payment requests, and conducting client performance evaluations...Claims
$23.16 - $35.88 per hour
...A healthcare organization seeks a Stop Loss Claims Analyst based in California. The successful candidate will process claims, evaluate compliance with policies, and build client relationships. This role requires at least 5 years of experience in health insurance claims...ClaimsHourly payWork at office$53.9k
...insurance market. Job Description The C&F Stop Loss Accounting department of the Accident &... ...position will interact internally with Claims, Policy, Digital Transformation, IT,... ...C&F: Superior organizational and time management skills Produce quality output within tight...Remote jobClaims- ...leading health insurance provider is seeking a dedicated claims analyst to review and process Stop Loss claims. This role requires 5 years of relevant experience and expertise in health insurance claims management. The successful candidate will build client...Claims
- A national health services organization seeks a Claims Analyst in Raleigh, NC. The role focuses on processing Stop Loss claims and requires 5 years' experience in health insurance claims. Candidates should possess strong communication and organizational skills and ideally...Claims
- A leading health insurance provider is seeking a Claims Analyst in Columbus, Ohio to evaluate and process Stop Loss claims. The candidate will build client relationships, ensure compliance with healthcare standards, and handle claims efficiently. A minimum of 5 years’...Claims
- ...healthcare organization in Oklahoma City is seeking a claims processor to review and analyze Stop Loss claims while ensuring compliance with established... ..., effective communication skills, and the ability to manage client relationships. Responsibilities include evaluating...Claims
- Prudential Ins Co of America is seeking a Head of Stop Loss Claims to spearhead the claims organization and drive strategic leadership in Newark, NJ. This role offers the opportunity to innovate processes and enhance the customer experience through operational excellence...Claims
- A healthcare organization in Denver is seeking a claims analyst to evaluate Stop Loss claims, maintain client relations, and ensure compliance with policies. Responsibilities include processing client claims, analyzing potential discrepancies, and approving payments. Candidates...Claims
$23.16 - $35.88 per hour
A major healthcare provider is seeking a Stop Loss Claims Analyst who will review, evaluate, and process claims. This role involves building client relationships, analyzing claims, and ensuring compliance with standards. The ideal candidate must have at least 5 years of...ClaimsHourly payWork at office$23.16 - $35.88 per hour
Highmark Health seeks a Stop Loss Claims Analyst in Annapolis, Maryland. This role involves reviewing and processing various claims while maintaining client relationships and ensuring adherence to standards. The successful candidate will have 5 years of health insurance...ClaimsHourly payWork at office- A leading health insurance provider in Washington is seeking a Claims Analyst to evaluate and process Stop Loss claims while building client relationships. The ideal candidate has over 5 years of relevant experience in health insurance claims and possesses strong communication...Claims
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