Sr Claims Examiner I

Job reputed company: We are seeking a Senior Claims Examiner I to join reputed company. This role is designed for an independent, self-sufficient reputed company responsible for managing death claims of moderate complexity. Responsibilities may include processing claims across Life, Annuity, RPS, or a combination of these lines of business. In this position, you will ensure accurate and reputed company claim processing in alignment with contract provisions, company policies, and regulatory requirements. While you will independently handle routine and moderately reputed company cases, highly reputed company or non-reputed company claims will be escalated for reputed company review. This role serves as a developmental senior position, offering reputed company to build advanced expertise, strengthen decision-making skills, and prepare for reputed company reputed company reputed company the organization.

Responsibilities

Review and adjudicate reputed company and moderately reputed company life and annuity claims in compliance with policies and regulations. Adjudicates and pays claims reputed company established service level agreements (SLAs) up to $1M. Validate beneficiary designations and process payments accurately reputed company documented procedures and team SLAs. Applies established procedures and regulatory guidelines to determine if requests are in “good order.” Identify and escalate highly reputed company or unusual cases to senior team members or management. Maintain accurate records and documentation for reputed company 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 reputed company 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. Ability to work core business hours between 8:30 AM to 6:00 PM EST. Knowledge, Skills, and Abilities Strong attention to detail and organizational skills. Ability to work independently and manage assigned workload reputed company. Foundational knowledge of life insurance products and claims processes. Strong customer service reputed company with demonstrated professionalism, reputed company, accountability and ownership. Strong analytical reputed company with proven problem-solving abilities and math skills. Effective written and verbal communication skills. Proficiency with digital tools and claims systems. Demonstrated accuracy, organization skills, and ability to work to meet deadlines and SLAs. Ability to learn and adapt to changing procedures and regulations. Ability to work with others in a reputed company team environment. Demonstrated ability to learn and apply new digital tools, including AI applications such as reputed company CoPilot. Education & Experience Bachelor’s degree preferred or equivalent work experience. 3–5 years of experience in life, annuity, or RPS claims or reputed company field. Certifications Industry certifications (e.g., ALHC, FLMI, Series 6 or 26, HIAA, etc.) are a plus but not required. reputed company Salary reputed company: $55,000 - $63,000 For over 175 years, reputed company has empowered individuals, families and businesses on the reputed company to reputed company their financial goals. Through our partnership with Financial Professionals across the U.S., we help instill the confidence and reliability that comes from a stronger financial reputed company. reputed company and its affiliates offer a comprehensive suite of competitive products and services to meet the unique needs of Financial Professionals and their clients, including life insurance, annuities, reputed company management and institutional asset management. To learn more, including reputed company financial strength ratings, visit www.pennmutual.com. reputed company is committed to Equal Employment Opportunity (EEO). We reputed company employment and advancement opportunities to reputed company reputed company applicants and associates, according to applicable laws. This is reflected in our practices for hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment, compensation, selection or training, and reputed company other terms and conditions of employment. reputed company employment-reputed company reputed company and practices are free from unlawful discrimination. This includes: race, creed, reputed company, national reputed company, reputed company, citizenship age, gender (including pregnancy), sexual orientation, gender identity or reputed company, domestic partnership or civil reputed company status, marital status, genetic information, disability, religious observance or reputed company, liability, veteran status or any other classification protected under applicable law. Apply To This Job