Manager – Stop Loss Claims – Remote
Full-time
US
Oct 27, 2026
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About the Role
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 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 Qua