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Symetra · 2 weeks ago

LTD Claims Analyst – WBI

United States

Contract

Remote

Entry, Mid Level

$53K/yr - $88K/yr

2+ years exp

Symetra is a national financial services company dedicated to helping people achieve their financial goals. The Long-Term Disability Claims Analyst will make timely, accurate, and customer-focused claim decisions while collaborating with various resources to analyze data and determine claim outcomes.

Financial ServicesHealth InsuranceInsuranceLife Insurance

Growth Opportunities

No H1B

Responsibilities

Evaluate new and ongoing LTD claims promptly and accurately

Analyze medical, vocational, and financial information to determine liability and eligibility

Apply contract language and procedural guidelines to claim decisions

Document claim decisions thoroughly in the system

Maintain accurate record keeping of communications with claimants, providers, employers, and internal partners

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

Support training and mentoring of team members as needed

Assist in identifying needs for evaluations such as FCEs, IMEs, and peer consultations

Foster a collaborative and professional team environment

Qualification

LTD claims experienceDisability claim processesMedical terminologySettlement claimsAnalytical skillsMicrosoft Office SuiteNegotiation skillsConflict managementFineos experienceNY Independent Adjuster licenseIndustry designationsTeam collaborationWritten communicationVerbal communicationIndependent work