Manager – Stop Loss Claims – Remote

About the role

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. Partner across the organization with other leaders to ensure compliance, optimize workflows, and position the team for future success.

What You Will Do

• 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.
• 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.

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
• Flexible full-time or hybrid telecommuting arrangements
• 401(k) plan with immediate vesting and company matching up to 6%
• Paid time away including vacation and sick time, flex days and ten paid holidays
• Company matching for giving back to the community

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.

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.

Inclusion

We empower inclusion at Symetra. We're building a place where every employee feels valued, respected, and has opportunities to contribute. Inclusion is about recognizing our assumptions, considering multiple perspectives, 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.

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).