Annuity Claims Specialist -Remote

This is a long-term (2 year minimum) contract position that can be worked remotely.

About the role

The Annuity Claims Specialist will review contestable death claims related to annuities and evaluate Medical Information Bureau (MIB) inquiries for an existing book of business.

Responsibilities

• Conduct contestable claims review, evaluating the cause of death and validating that there was no material misrepresentation with the original health history used at the time of policy issue or provided during a reinstatement requiring medical underwriting.
• Evaluate policy reinstatement requests, including client responses to medical questions, medical examinations, lab work, or review of physician’s records to complete the underwriting risk evaluation and determine whether a lapsed policy should be placed back in force.
• Use the Swiss Re manual for risk assessment.
• Run manual MIB for all reinstatement requests and report MIB codes.
• Respond to MIB inquiries: Medical Information Bureau may request member firms to validate prior medical condition reports made on individual annuity applicants.
• Process claims and reinstatement inquiries received at insurance carrier administrative offices and routed to an underwriting queue for review and evaluation.
• Handle MIB inquiries sent via secure email for review and response.
• Use multiple proprietary systems to process claims.

Requirements

• At least 4 years of Annuity Claims experience; candidates with strong Life Insurance Death Claims experience will be considered.
• Good product knowledge of annuities and life insurance.
• Strong verbal and written communication skills, ability to multitask, and logical problem-solving.
• Claims and/or underwriting background is preferred.
• Investigative mindset with determination to seek answers if something does not make sense.
• Ability to learn new systems quickly is critical.
• Solid experience with MS Office products.
• Works well independently or with minimal supervision.
• Bachelor’s degree or equivalent combination of education/experience.

Qualifications

• Certified Annuity Specialist (CAS), Life and Annuity Certified Professional (LACP), or Certified Annuity Advisor (CAA) certifications, courses, or designations are a big plus.
• Experience with the Resonant underwriting platform is a nice-to-have.