Claims Representative

Overview

At Banner Life Insurance Company, we lead with heart and ambition. Every day, we transform purpose into progress, guided by our unwavering commitment to be better for our customers, clients, and communities, not just today but long-term as well. Our people are the driving force behind everything we achieve. Their passion, purpose, and pursuit of innovation empower us to deliver cutting-edge solutions that support those we serve, ensuring we are here for you, here for good and striving for better.

We’re a forward-thinking company energized by our work and how we show up for one another. Our culture is built on meaningful impact and genuine enjoyment, because we believe great work and great experiences should go hand in hand. By offering career development opportunities, comprehensive benefits, and programs that support your wellbeing, we help you thrive personally and professionally. We are here for you, here for good and here for better.

The Claims Representative is responsible for the setup, research, review and processing of non-contestable claims and live rescissions within established productivity and quality standards. Complete all other claims related tasks to meet or exceed pre-defined productivity and quality standards. Complete other administrative duties and projects as directed by management.

• Review and process live rescissions within established productivity and quality standards.
• Prepare written communication to insureds regarding rescission of in force life insurance policies.
• Set up, research, review and process non-contestable claims within established productivity and quality standards.
• Review company records to confirm insurance coverage.
• Review all beneficiary and title changes and collateral assignments for correctness and generate appropriate correspondence in accordance with state insurance regulations requesting appropriate claim requirements.
• Open claims files according to departmental procedure.
• Notify reinsurers of newly filed death claims.
• Evaluate documentation submitted for processing of claim and confirm eligibility for payment utilizing knowledge of estates, trusts, minor beneficiary requirements, divorce statutes and other regulatory requirements. If documentation is insufficient, request correct or additional requirements needed in order to give the claim further consideration.
• Correspond and communicate with claimants, attorneys, agents, reinsurers and other company departmental staff to discuss and/or resolve matters relevant to effective claims administration, including competing claim issues.
• Review progress and status of pending claims with management and discuss problems and suggested solutions.
• Follow up on all pending non-contestable claims within established regulatory requirements.
• Follow established escheat procedures on pending claims review and run public records database searches as needed.
• Process claim on administrative systems using the appropriate Post Mortem Interest statutes, dividend calculations, and contract provisions to reflect settlement or payment of claim to the appropriate party.
• Send disbursement correspondence and document file reflecting interest and payment amount.
• Document all activity to support claim file.
• Answer phones and respond to correspondence pertaining to the initial notification of death.
• Keep abreast of “red flags” for fraud and identify potential issues to prevent payment of fraudulent claims including foreign death requirements.
• Complete form 712’s as needed.
• As required, bill reinsurer for their share of the liability and update appropriate system. Communicate with reinsurers as needed on problem cases.
• Keep abreast of claims related regulatory requirements.
• Operate in a team environment and support other team members to enhance overall productivity.
• Complete all other projects and tasks assigned by management.

Education
High School diploma or equivalent
Some college preferred

Experience/Knowledge
1-2 years of experience in life or health claims or customer service/administrative position preferred.

Skills
Typing 35 WPM
Proficiency in spreadsheet and word processing software
Detail oriented
Strong…