Responsible for timely handling and adjudication of claims, including some complex claims
Areas of Responsibility
Perform various duties relating to life, accidental death, waiver of premium, and critical illness claims including (1) setting up and reviewing for completeness and accuracy, (2) verifying consistency with policy contract and treaty provisions, and (3) approving payment or denial
Adjudicate most basic claims, including smaller contestable claims
Answer most claims related questions from clients
Create and maintain monthly and quarterly reports for our retrocessionaire partners
Communicate with ceding company and internal clients as needed
Train and support clerical staff as needed
Requirements for the role
3 years of life insurance claims adjudication
Some college coursework or equivalent work experience
Ability to handle multiple priorities effectively and meet deadlines
Good mathematical proficiency
Opportunities to lead or support team operations are part of this role; experience in similar responsibilities is a plus
Skills
Good verbal and written communication skills
Ability to work within a team environment in a non-supervisory capacity
Ability to exercise a high attention to detail to minimize errors
Strong contract interpretation, organizational, analytical, and customer service skills
Excellent interpersonal skills and client focus perspective
Good knowledge of reinsurance and/or insurance industry customs and practices
Basic knowledge and use of Microsoft office products (Excel, Word) and Oracle Discoverer (or equivalent report writing software)
Other
LOMA courses are preferred but not required
Successful passing of at least one ICA exam is preferred, but not required