LTD Claims Analyst – Remote

Job description

Symetra has an exciting opportunity to join our team as an LTD Claims Analyst ! About the role: 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 e...