Role Description We are seeking an experienced and highly analytical life insurance underwriting professional to join our team as an Underwriting Auditor – Life. This role is ideal for someone who is passionate about underwriting quality, risk assessment, and helping develop underwriting talent across the organization. In this role, you will conduct detailed audits of individual life insurance cases to ensure underwriting decisions align with company guidelines, mortality risk philosophy, and industry standards. You’ll also play a key role in identifying trends, supporting quality initiatives, and providing meaningful coaching and feedback to underwriting staff. What you will do - Audit individual life insurance cases for underwriting accuracy, consistency, and guideline adherence - Evaluate medical history, financial justification, insurable interest, and risk classification decisions - Identify trends, variances, and opportunities to improve underwriting quality and operational effectiveness - Provide structured feedback and coaching to underwriters and underwriting leadership - Participate in post-issue reviews and analysis to monitor underwriting outcomes and rules engine performance - Support underwriting quality initiatives, operational improvements, and cross-functional projects - Serve as a subject authority on underwriting standards and risk philosophy Qualifications - 10+ years of individual life underwriting experience - Advanced expertise in medical and financial underwriting - Strong analytical thinking, decision-making, and communication skills - Deep understanding of underwriting guidelines, risk assessment, and regulatory considerations - Ability to mentor, coach, and influence underwriting quality across teams - Ability to navigate multiple underwriting workbench systems and programs - Comfortable using AI and automation to improve the ways of working - College degree preferred, high school diploma required - Ability to travel periodically to meet the needs of the business Benefits - 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 Company Description 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). Join our team and help us create a world where more people have access to financial freedom.

Role Description The Group Health Training and Auditing Specialist (GH Trainer) is responsible for delivering structured training and ongoing education to new hires and current staff, while identifying opportunities for learning, growth, and remediation. This role plays a critical part in improving employee performance, job satisfaction, and client outcomes by monitoring trends such as clarifications, turnaround times (TAT), and overturn rates. - Onboard and train all new QA hires. - New QAs will be ready for integration into the ops team when the following criteria are met: - Proficiency on one core client (≤ 2% clarification rate) - Division 1: HCSC - Division 2: BCBS MN - Division 3: Optum - Daily output of ≥ 5 cases - Collaborate on the review of daily operational reports (e.g., outcome reports, TAT, operational synopsis, employee goals). - Serve as a resource for team members regarding operational questions, concerns, and problem-solving. - Provide backup support to QA Supervisors as needed (e.g., invoicing, board balance). - Maintain weekly clarification tracker; identify QAs with opportunities for additional training or feedback. - Participate in client calls. - Lead bi-weekly Clarification/TAT review meetings: pull data, facilitate discussions, and issue remediation plans. - Conduct regular MFR (member-friendly rationale) Workshop training sessions. - Develop onboarding agendas in consultation with Ops Leadership. - Identify and schedule training opportunities/meetings. - Coordinate and track annual client regulatory training requirements. - Support regulatory accreditation audits (e.g., NCQA, URAC). - Provide backup support to GH Auditor in performing client collaboration audits (e.g., BCBSMN monthly, HCSC quarterly and annual). - Update and maintain severity and client-change trackers. - Create and maintain training documentation. - Collaborate on remediation plans for employees. - Provide reviewer training when a Medical Director is unavailable; escalate issues to Medical Directors when appropriate. - Partner with managers and supervisors to support 90-day reviews, annual evaluations, and PIPs. Performance Metrics: - Audit Success: Measured by clarification rates, audit results, and daily/monthly TAT. - Remediation Effectiveness: Measurable performance improvement within defined timelines. - Training Success: Evaluated through 90-day and annual employee reviews, and check-ins with new hires (daily, weekly, monthly). Other duties & special projects, as assigned and based on business needs. Qualifications - RN or LPN license required. - Strong background in clinical operations, training, or quality assurance. - Extensive experience in utilization review, with a strong background in health plan practices. - Experience navigating CMS requirements, health plan criteria, and nationally recognized guidelines such as MCG and InterQual. - Proficient in rationale writing and translation to patient-friendly language. - Excellent communication, coaching, and mentoring skills. - Ability to analyze data and identify trends to drive performance improvements. - Skilled in client collaboration and escalation management. - Proficiency with Google Suite, communication platforms, and related applications. Requirements - Preferred Experience Includes: - Benefit Denials - Medical Necessity Reviews - EIU Reviews - Criteria-Only Reviews - Formulary Exception Reviews - Quantity Limit Reviews - Step Therapy Reviews - Inpatient vs Observation Reviews - Level of Care Reviews - Claims Reviews - Payment Integrity Reviews - DRG Validation - Quality of Care Reviews - Fraud, Waste, and Abuse (FWA) Reviews Benefits - Comprehensive benefits package including medical, dental, and vision coverage for you and your family. - Voluntary life insurance options for you, your spouse, and your children. - Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans. - Basic life insurance, short-term disability, and long-term disability coverage at no cost. - Generous paid time off policy. - 401k plan with a company match. - Apple equipment and a media stipend for remote workspace.

• Conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies • Audits the policyholder’s records according to client company standards • Schedules appointments with the insured to be audited • Obtains necessary documentation for audits while adhering to customer requirements and quality standards

• Support clients through their assessment process with us to achieve ISO standards • Take clients through the audit process, prepare a report, and present findings • Assess a wide range of clients, from very small to global brands in different industry sectors • Conduct on-site and remote audits