Job Description

Job Summary

We are seeking a skilled professional with 3 to 5 years of experience in the Life and Annuity domain for the role of SPE-Ins Claims. The ideal candidate will work from our office during night shifts contributing to the efficiency and effectiveness of our claims processing. This role does not require travel allowing you to focus on delivering exceptional service and expertise in the Life and Annuities Insurance sector.

Responsibilities

Analyze and process insurance claims related to life and annuities ensuring accuracy and compliance with company policies and regulations. Collaborate with team members to improve claims processing workflows and enhance operational efficiency. Utilize domain knowledge to assess claims and provide recommendations for resolution ensuring customer satisfaction. Maintain detailed records of claims and communicate effectively with stakeholders to provide updates and resolve inquiries. Conduct thorough investigations of claims to identify potential discrepancies and ensure fair outcomes. Provide insights and feedback to management on trends and patterns observed in claims data to support strategic decision-making. Assist in the development and implementation of training programs for new team members to ensure consistent knowledge sharing. Monitor industry developments and regulatory changes to ensure compliance and adapt processes as necessary. Support the continuous improvement of claims processing systems by identifying areas for enhancement and suggesting solutions. Engage with policyholders and beneficiaries to address concerns and provide clear explanations of claim decisions. Collaborate with cross-functional teams to ensure seamless integration of claims processes with other business operations. Prepare detailed reports and presentations on claims performance and outcomes for management review. Ensure adherence to night shift schedules and maintain a high level of productivity and focus during working hours.

Qualifications

Demonstrate strong expertise in Life and Annuity domain knowledge essential for effective claims processing. Possess excellent analytical skills to evaluate and resolve complex claims efficiently. Exhibit strong communication skills to interact with stakeholders and provide clear concise information. Have a keen eye for detail to ensure accuracy and compliance in all claims-related activities. Show proficiency in using claims management software and tools to streamline processes. Display a proactive approach to problem-solving and continuous improvement in claims operations. Demonstrate the ability to work independently and collaboratively within a team environment.

Certifications Required

Certified Life and Annuity Claims Specialist (CLACS) or equivalent certification.