Annuity Claims Specialist -Remote

Synergistic Systems Inc; United States; Remote; USD 75,000 - 100,000; Full time

Job summary

Synergistic Systems Inc. is seeking an Annuity Claims Specialist for a remote, long-term contract. The role requires evaluating complex claims, reinstatements, and MIB inquiries, with focus on accuracy and regulatory compliance.

The ideal candidate has 4+ years in annuity claims, strong life insurance knowledge, and experience in underwriting and MS Office. CAS/LACP/CAA are advantageous qualifications.

Qualifications

• Bachelor's degree or equivalent combination of education/experience.
• 4+ years of annuity claims experience.
• Certified Annuity Specialist (CAS), LACP or CAA is a plus.
• Strong knowledge of annuities and life insurance products.
• Experience with MIB and underwriting risk assessments.

Responsibilities

• Review contestable claims, evaluating cause of death and misrepresentation.
• Assess reinstatement requests including medical history and underwriting.
• Handle MIB inquiries and report findings to underwriters.
• Route inquiries to underwriting queues and respond via secure email.

Skills

Annuities knowledge

Life insurance knowledge

Verbal communication

Written communication

Multitasking

Underwriting experience

Investigative mindset

Learn new systems

Education

Bachelor's degree or equivalent

Tools

MS Office

Resonant platform

Job description

Our client, a major Life Insurance carrier is seeking an Annuity Claims Specialist for a long term (2 year minimum) contract position. This job can be worked remotely.

Annuity Claims Specialist responsibilities include the following:

• Contestable claims review will require an evaluation of the cause of death and validating that there was no material misrepresentation with the original health history that was used at the time of the policy issue, or that was provided during a reinstatement that required medical underwriting.


• Policy reinstatement requests will include evaluating client responses to medical questions, medical examinations, lab work, or review of physician’s records to complete the underwriting risk evaluation to determine whether a lapsed policy should be placed back in force. Use of Swiss Re manual for risk assessment. Run manual MIB for all reinstatement requests and report MIB codes


• MIB inquiries: Medical Information Bureau may request member firms to validate prior medical condition reports made on individual annuity applicants.


• Business Process: Claims and reinstatement inquiries are received at insurance carrier administrative offices and are routed to an underwriting queue for review and evaluation. MIB inquiries will be sent via secure email for review and response.

Requirements:

• Ideally, candidates should have good product knowledge of annuities and life insurance.


• Strong verbal and written communication skills, ability to multitask, and logic is preferred.


• Claims and or underwriting background is preferred.


• Candidates should have an investigative mindset. Determined to seek answers if something does not make sense.


• Will use multiple proprietary systems top process claims, so ability to learn new systems quickly is critical.


• Solid experience with MS Office products.


• At least 4 years of Annuity Claims experience.


• Candidates with strong Life Insurance Death Claims experience will be considered.


• Works well independently or with minimal supervision


• Certified Annuity Specialist (CAS), Life and Annuity Certified Professional (LACP) or Certified Annuity Advisor (CAA) certifications, courses or designations are a big plus.


• A bachelor’s degree or equivalent combination of education/experience.


• Nice to have : Experience with the Resonant underwriting platform.

This is a remote position.