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 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.

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 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.