Senior Death Claims Examiner I

Seeking a Senior Claims Examiner I responsible for managing death claims of moderate complexity across Life, Annuity, RPS, or a combination of these lines of business. The role offers opportunities for professional growth and skill development.

Location: United States

Salary: $55,000 - $63,000

Responsibilities

• Review and adjudicate standard and moderately complex life and annuity claims in compliance with policies and regulations.
• Adjudicates and pays claims within established service level agreements (SLAs) up to $1M.
• Validate beneficiary designations and process payments accurately within documented procedures and team SLAs.
• Applies established procedures and regulatory guidelines to determine if requests are in “good order.”
• Identify and escalate highly complex or unusual cases to senior team members or management.
• Maintain accurate records and documentation for all claims handled.
• Communicate effectively with beneficiaries, agents, and internal stakeholders to resolve inquiries and champion strong relationship building and customer service.
• Navigate multiple administrative systems, workflows, and imaging tools simultaneously with a high level of organization and attention according to standard operating procedures (SOPs).
• Participate in training and development activities to enhance technical knowledge and skills.
• Adheres to Service Level Agreements (SLAs) and individual/team metrics.
• Work core business hours between 8:30 AM to 6:00 PM EST.

Requirements

• 3–5 years of experience in life, annuity, or RPS claims or related field.
• Bachelor’s degree preferred or equivalent work experience.