Manager – Stop Loss Claims – Remote
Symetra has an exciting opportunity to join our team as a Manager, 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
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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.
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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.
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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 our Symetra 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