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LTD Claims Analyst – Remote
Symetra
- New York, New York, United States
- New York, New York, United States
Über
In this role, you’ll make timely, accurate, and customer-focused claim decisions. You’ll collaborate with clinical, vocational, financial, and employer resources to gather and analyze data, compare it to policy terms, and determine claim outcomes. You may also support claim settlement efforts, ensuring optimal outcomes and compliance with regulatory standards. What you will do
Evaluate new and ongoing LTD claims promptly and accurately. Analyze medical, vocational, and financial information against policy terms and procedural guidelines. Apply contract language and procedural guidelines to claim decisions. Document claim decisions thoroughly in the system. Communicate effectively with internal and external stakeholders. Build and maintain claim management plans for optimal outcomes. Identify and support settlement opportunities as applicable. Collaborate with internal resources (e.g., Actuaries, CPAs, Medical Clinicians) to support claim adjudication. Ensure compliance with ERISA, HIPAA, Fair Claim Settlement Practices Acts, and other statutory regulations. Deliver empathetic, customer-first service throughout all interactions. Foster a collaborative and professional team environment. Why work at Symetra
We strive to be an inclusive company where employees feel valued, respected, and have opportunities to contribute. What we offer you
Benefits and Perks Flexible full-time or hybrid telecommuting arrangements Plan for your future with our 401(k) plan and immediate vesting with company matching up to 6% Paid time away including vacation and sick time, flex days and ten paid holidays Company matching to double your impact when you give back to the community Symetra Benefits Overview (details available online) Compensation
Salary Range: $54,600 – $91,000 plus eligibility for annual bonus program Who you are
High School Diploma required; college degree preferred. 3+ years of LTD claims experience required. Experience with LTD Claim settlement efforts is a plus. Solid understanding of disability claim processes, medical terminology, and legal/regulatory frameworks. Proven analytical, negotiation, and conflict management skills. Strong judgment, attention to detail, and a commitment to compassionate service. Excellent written and verbal communication skills. Ability to work independently and as part of a team. Proficiency in the Microsoft Office Suite. Experience with Fineos is a plus. Pursuing a NY Independent Adjuster license or industry designations (e.g., FLMI, CPDM) is a plus. Remote work requirements
Symetra is a remote-first organization. Minimum standards for employees’ internet connection are: Minimum Internet Speed: 100 Mbps download and 20 Mbps upload Internet Type: Fiber, Cable, or DSL Not permissible: Satellite, cellular broadband, any other wireless technology, or wired dial-up When applying, you may be asked to test your internet speed to confirm it meets the standard. 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 throughout employment.
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Sprachkenntnisse
- English
Hinweis für Nutzer
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