Remote Claims Processor Jobs in Racine, WI (NOW HIRING)

FINRA Series 6 License - REQUIRED

**Open to remote**

About the job:

The Life Claims & Annuity Sr. Specialist is responsible for assessing and making decisions on variable/portfolio death claims, death under income plan, variable/fixed annuity, and Northwestern Access Fund accounts. This role involves partnering with the contestable team on variable contestable claims. Ensuring compliance with a $2M signature authority limit involves analyzing various documents such as death certificates, claim forms, and legal documentation. Additionally, the specialist conducts routine reviews of claims by contract language and state laws.

What You'll Do:

Decision Making and Claims Review

• Make fair, accurate, and timely decisions on variable/portfolio death claims, death under Income plans, variable/fixed annuities, and Northwestern Mutual Access Fund accounts. Maintaining compliance with a $2M signature authority limit.

• Examine claim information obtained, including beneficiary data, policy values, policy status, and analyze information received during the claim review process, such as death certificates, claim forms, assignment forms, divorce decrees, and estate and trust documentation.

• Research and evaluate solutions to arising situations and resolve concerns as needed. Deviate from procedures to handle unique situations effectively.

• Exhibit empathy, professionalism, and tactin all interactions, especially when handling sensitive or contentious claims.

• Provide exceptional customer serviceto policyholders, beneficiaries, and financial advisers, addressing their questions and concerns throughout the claims process.

• Communicate claims decisionsto beneficiaries and other parties clearly and sensitively, providing detailed explanations and supporting documentation as needed.

• Manage phone and transactional responsibilitieswhile demonstrating a strong commitment to confidentiality.

• Maintain organization, accuracy, and timelinessin individual case management systems; capture and document claim-related information accurately and/or refer tasks as appropriate.

• Maintain production and claim quality standardsto ensure efficiency and accuracy.

Continuous Improvement and Innovation

• Participate in continuous improvement initiativesto enhance claims handling processes, reduce turnaround times, and improve accuracy.

• Assist with special projects and initiativesas needed to support the business.

• Embrace new technology and serve as an advocateby educating beneficiaries and field representatives.

• Support digital savvy capabilitiesin self and others and adapt to changing environments and new situations effectively and positively.

What You'll Bring to the Role:

• Bachelor's degree or an equivalent combination of education and progressively responsible work experience.

• A Series 6 FINRA License is required.

• Previous experience in claims, income plan, or annuity preferred.

• High degree of accuracy in handling detailed technical work.

• Self-motivated with proven responsibility for work results and group goals.

• Technically savvy with the ability to toggle between multiple applications and computer monitors simultaneously.

• Strong organizational skills, able to independently prioritize to meet deadlines.

• Exhibits empathy and strong client focus, with excellent customer service skills.

• Excellent communication skills (both verbal and written) to include the proven ability to negotiate.

• Leadership and decision-making skills, to include the abilities to evaluate/identify, diagnose, and implement decisions/solutions to questions/problems within the scope of the job.

• Ability to analyze complex information and ask thoughtful questions.

Skills You have:

• Adaptive Communication: Formulates strategies to be used to convey complex information about services, products, systems, or processes to targeted audiences; communicates and liaises between technical and non-technical audiences.

• Analytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes.

• Annuity Acumen: Demonstrates a thorough understanding of the underlying financial principles and risks associated with annuity products. Accurately identifies potential fraud or misrepresentation in annuity applications.

• Attention to Detail: Focuses on specific details to spot and correct errors in advance of them being found and surpass quality expectations. Performs work with thorough proofreading for presentation, content, accuracy, and overall quality.

• Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims. Evaluates medical, financial, and occupational information and reviews to determine if insured meets contractual provisions while taking the state regulations or other relevant contractual information into consideration to make informed decisions. Analyzes insurance claims to determine the validity/risk of the claim, and the extent of coverage.

• Customer Centricity: Applies a customer first mindset to design and continuously improve solutions, systems, processes, and services that support enterprise strategy, impact critical business outcomes, and drive organizational success.

• Empathetic Communication: Empathizes and relates to clients navigating difficult life situations. Handles cases with care and compassion. Practices active listening to understand the unique needs of the customer and take more informed decisions about their policies.

#LI-Remote

Geographic Specific Pay Structure:

Structure 110:

Structure 115:

We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.

Job Posting End Date:

The timeline for this job posting may be shortened or extended based on organizational needs.

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Northwestern Mutual is an equal opportunity employer that welcomes talented individuals of all backgrounds. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.