Sr Death Claims Examiner I

About the Role

The day-to-day responsibilities of this role will involve processing claims across Life, Annuity, RPS, or a combination of these lines of business. The ideal candidate will be able to work independently, handling routine and moderately complex cases, while escalating highly complex or non-standard claims for further review. Strong communication skills will be essential in this role, as the successful candidate will be required to communicate effectively with beneficiaries, agents, and internal stakeholders to resolve inquiries and champion strong relationship building and customer service.

Penn Mutual is committed to equal employment opportunity and provides a comprehensive suite of competitive products and services to meet the unique needs of financial professionals and their clients. As a company with a long history of empowering individuals, families, and businesses, Penn Mutual offers a dynamic and supportive work environment that fosters growth and development.

What You Will Do

• Review and adjudicate standard and moderately complex life and annuity claims in compliance with policies and regulations
• Adjudicate and pay claims within established service level agreements (SLAs) up to
  M
• Validate beneficiary designations and process payments accurately within documented procedures and team SLAs
• Apply 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
• Adhere to Service Level Agreements (SLAs) and individual/team metrics
• Work core business hours between 8:30 AM to 6:00 PM EST

What We Are Looking For

• Strong attention to detail and organizational skills
• Ability to work independently and manage assigned workload efficiently
• Foundational knowledge of life insurance products and claims processes
• Strong customer service mindset with demonstrated professionalism, empathy, accountability, and ownership
• Strong analytical mindset 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 collaborative team environment
• Bachelor’s degree preferred or equivalent work experience
• 3–5 years of experience in life, annuity, or RPS claims or related field
• Certifications such as ALHC, FLMI, Series 6 or 26, HIAA, etc. are a plus but not required

Nice to Have

• Experience with AI applications such as Microsoft CoPilot
• Knowledge of regulatory guidelines and industry standards
• Familiarity with multiple administrative systems and imaging tools
• Previous experience working in a remote or virtual team environment

Benefits and Perks

• Competitive salary range
• Comprehensive benefits package, including health, dental, and vision insurance
• 401(k) retirement plan with company match
• Paid time off and holidays
• Remote work stipend and equipment allowance
• Opportunities for professional growth and development
• Collaborative and dynamic work environment
• Recognition and reward programs for outstanding performance

• Tip: Make sure to highlight your experience with digital tools and claims systems in your resume and cover letter, as these skills are highly valued in this role.
• To stand out as a candidate, consider obtaining industry certifications such as ALHC, FLMI, or Series 6 or 26 to demonstrate your expertise and commitment to the field.
• When preparing for the interview, review the company’s products and services, as well as industry trends and regulatory guidelines, to demonstrate your knowledge and interest in the role.
• Be prepared to provide specific examples of your problem-solving skills and ability to work independently, as these are key requirements for the position.
• Consider asking about opportunities for professional growth and development during the interview, as this role is designed to be a developmental senior position.
• When negotiating salary, be sure to research the market rate for similar positions and be prepared to make a strong case for your desired compensation package.