Job description
Symetrahas an exciting opportunity to join our team as aManager, 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
Want more details? Check out ourSymetra Benefits Overview
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, or wired dial-up.
When applying to jobs at Symetra you'll be asked to test your internet speed and 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. For all roles, candidates will be required (after the initial phone screen) to be on video for all interviews. Symetra will take affirmative steps at key points in the process to verify that a candidate is not seeking employment fraudulently, e.g. through use of a false identity.
Failure to comply 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
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.