Life Claims Examiner
About this role
Symetra offers a thrilling chance to become part of our team as a Life Claims Examiner !
About the role
Responsible for timely adjudication of group life, AD&D, verifying eligibility and making the initial claim decision based on the policy. Responsible for making accurate payments to the correct beneficiaries. Strong desire to provide world class service to both internal and external customers.
What you will do
• Reviews, investigates and determines eligibility pursuant to policy provisions while meeting regulatory, statutory, department and company requirements. Requires ability to appropriately interpret and apply contract provisions. Reaches out to the policyholder and beneficiaries regarding outstanding requirements. Consults with manager regarding potential referrals to Legal Department and medical resources when needed. Maintains claim records and documents claims in a manner defensible in court. Communicates claim status and decisions to policyholders, insureds, beneficiaries and other interested parties in accordance with internal guidelines, regulatory and statutory requirements. Demonstrate proficient use of the claim system and associated systems. Maintains performance at or above departmental metrics. Life claim specific: Determines correct payee and accurately issues payments with next level approvals. • Educates and coaches the policyholder, brokers/agents and Symetra sales representatives on proper policy administration when needed. Identifies potential policy language discrepancies and works with the Symetra sales representatives to correct if necessary.
Why Work at Symetra
Here’s what some of our employees share about why they choose to work at Symetra:
"All I can say and I do say it often to friends and colleagues.. Symetra is the best place I have ever worked for!!!!!" - Lisa F., Sr. Auditor, Trainer
“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 built to make your life better both at work and at home.