Remote Claims Specialist II - Life & Health

Banner Life; Frederick (MD); Remote; USD 55,000 - 65,000; Full time

Benefits offered by this job

Remote work

Health, life, and dental insurance

401K with company match

Pension plan

Job summary

Banner Life Insurance Company is seeking a Claims Representative II to research, evaluate, and process non-contestable and complex life and health claims in accordance with policy provisions and regulatory standards. You will thoroughly document claims, collaborate with reinsurers, and support related accounting tasks while maintaining high accuracy and service levels.

The role requires strong attention to detail, Excel/Word proficiency, and the ability to work remotely from EST hours.

Qualifications

• Two years of experience as a Claims Representative I or comparable claims experience.
• Advanced knowledge of claims practices, claims systems, policy records, life insurance products, and contract provisions.

Responsibilities

• Establish, research, and process non-contestable and complex claims within established productivity and quality standards.
• Review company and policy records; use approved databases and search methods to confirm coverage, claimant identity, and claim validity.
• Review beneficiary and ownership changes, collateral assignments, estates, trusts, minor-beneficiary requirements, divorce statutes, and other applicable requirements to determine payment eligibility.
• Evaluate accelerated death, foreign death, waiver, and accidental death claims; request investigations or additional documentation when needed.
• Identify fraud indicators and elevate potential concerns, including issues involving foreign death claims.
• Open and maintain claim files in accordance with departmental procedures, documenting all material activity and decisions.
• Follow up on pending claims within applicable contractual, regulatory, and departmental timeframes.
• Apply escheat procedures and conduct public-record searches when required.
• Process settlements and payments in administrative systems using applicable postmortem-interest statutes, dividend calculations, and contract provisions.
• Prepare disbursement correspondence and document interest and payment amounts in the claim file.
• Complete required tax form reviews and filings, including Form 712, when applicable.
• Process manual policy accounting and reconciliations of suspense accounts where required.
• Communicate clearly and professionally with claimants, attorneys, agents, reinsurers, and internal partners regarding claim requirements, status, and resolution.

Skills

Attention to detail

Time management

Communication skills

Decision making

Contract interpretation

Problem solving

Collaboration

Education

Some college coursework

LOMA 281

LOMA 291

ACS 100 coursework

Tools

Microsoft Word

Microsoft Excel

Job description

Banner Life Insurance Company is seeking a Claims Representative II to research, evaluate, and process non-contestable and complex life and health claims in accordance with policy provisions and regulatory standards. You will thoroughly document claims, collaborate with reinsurers, and support related accounting tasks while maintaining high accuracy and service levels.

The role requires strong attention to detail, Excel/Word proficiency, and the ability to work remotely from EST hours.