Our client is one of the world's largest reinsurance companies, and the industry leader in delivering world-class service and solutions to many of the most recognized insurance companies around the globe, we offer a unique opportunity to be part of a global success story that continues to evolve. We offer a truly diverse work environment, which champions innovation and creativity, energy and passion, and rewards top performers with a highly competitive total rewards package.
Our client is seeking an Account Representative on the Living Benefits team. This position will adjudicate complex, contestable claims, manage litigated cases including processing compromise settlements, review high dollar, early duration claims to determine if the ceding company is following their guidelines, make recommendations to the Claims Review Committee, manage the client relationship, lead projects, conduct claims trend analysis and produce analytical business reports when requested. The Account Representative will also be the Lead on external audits including completing the audit report, identifying training opportunities, conducting training and presenting at industry meetings.
Responsibilities for this role include:
Adjudicate complex, contestable claims
Independently coordinate Underwriting, Legal and Administrative reviews and make decision recommendations to the Claims Review Committee
Manage litigated cases
Adjudicate compromise settlements
Review high dollar, early duration claims
Manage client relationships
Conduct claim trend analysis
Produce analytical business reports such as client benchmark reports, mortality study reports etc...
Manage External Audit Process and lead all on-site audits
Identify training opportunities, create training presentations and programs for employees and clients
Give industry presentations as required
Lead projects as necessary
Coordinate with others to create claims tools as appropriate
8-10 years life or living benefit claims experience required, direct experience preferred
Strong communication skills, written and oral
Advanced Microsoft Excel, Word and Outlook Experience
Associate, Life & Health Claims (ALHC), Associate Reinsurance Administration (ARA), FLMI or HIAA designations preferred