Remote

SB Claims Examiner

Symetra
paid holidays, sick time, 401(k)
United States
Feb 14, 2026
Symetra offers a thrilling chance to become part of our group as a SB Claims Examiner! About the role The Claims Examiner is responsible for accurate and timely adjudication of complex professional, facility, and ancillary claims. This role makes timely, accurate, and customer-focused claim decisions for supplemental health products that may include limited benefit medical (LBM), critical illness, hospital indemnity, scheduled or group accident, and/or minimum essential coverage (MEC) products. Proactively reach out to internal and external sources to gather relevant medical, financial, legal, and/or general data, compare it to the applicable contract and procedural documents, conduct an analysis, and engage peers and management as appropriate. Communicate verbally and in writing and fully leverage the claim system with accurate and comprehensive information. Maintain performance within departmental metrics. The level of independent judgement assigned to this position increases over time. What you will do Provide timely, accurate, and client-centered claim resolutions. Contact necessary parties to obtain information on a claim-by-claim basis. This process could involve engaging with healthcare providers, being responsible for coordination of benefits (COB) claims, and processing group benefits for claimants holding multiple coverage types. Review the information against the terms, limitations, and conditions of the contract and applicable procedural documents and provide the claim decision as promptly as possible. Record the claim systems accurately and comprehensively while ensuring maximum efficiency. Prepare and present clear written and verbal communication to various internal and external groups. Develop, revise, and implement a claim management plan to achieve the most appropriate result. Adhere strictly to regulatory requirements. Show proficiency in supplemental health products and claim processing techniques. Maintain alignment with operational standards. Achieve or surpass claim team operational goals. Maintain a superior level of genuine caring and empathetic customer service throughout all interactions. Take appropriate actions to earn the claimant's and employer's trust and confidence. Quickly resolve issues or concerns with payments, voids, refunds, and re-pricing issues. Support one another by working flexibly and collaborating. Foster a positive work environment while maintaining professionalism and integrity. Take active steps to improve morale and demonstrate dedication to excellence. Perform additional special projects or tasks as assigned by the Sr. Unit Manager. Why Work at Symetra Here's what some of our employees share about why they choose to work at Symetra: "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. 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. Want more details? Check out our Symetra Benefits Overview. Compensation Hourly Range: $29.83 - $49.68 plus eligibility for annual bonus program. Who You Are High School Diploma required; college degree preferred. 1-3 years of cumulative, relevant experience. Ability to review and interpret policy language. Experience with claim forms ideal. Experience reviewing medical records. 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 will be asked to test your internet speed. You must confirm that your internet connection meets or exceeds Symetra's standard as outlined above. Identity Verification Symetra is committed to fair and secure hiring practices. After the initial phone screen, candidates must be on video for all interviews. Symetra will verify at key points that candidates are not seeking employment fraudulently, such as using a false identity. Failure to align with verification procedures may result in Disqualification from the recruitment process. Withdrawal of a job offer. Termination of employment and other criminal and/or civil remedies, if fraud is discovered. 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: https://symetra.eightfold.ai/careers 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.