Life Claim Specialist

Job Description

The Opportunity

As a Life Claims Specialist you will work with beneficiaries, attorneys, trustees, executors, financial advisors, etc. through email, phone and written correspondence to adjudicate death claims, including Direct to Consumer.  In this role, as well as all roles within MassMutual, you will demonstrate accountability, agility, a dedication to be inclusive, a strong business acumen, and will show courage, even in the most difficult situations. We also highly value strong communication skills, a passion for learning, leadership traits, resilience and self-awareness.

The Team

The Life Claims team manages the overall end-to-end process, from initial claim notification to approval and disbursement of the proceeds to our beneficiaries.  The team is comprised of examiners, senior examiners and consultants.  Accountability, Business Acumen, Communication and Inclusion are key competencies shared amongst this successful group.  As a highly adaptable team, we utilize process improvements, data and technology solutions to meet our customers’ needs.  We have transformed our operating model to meet our vision of delivering a personalized and exceptional claims experience when it matters most.

The Impact

The Life Claims Specialist role requires a willingness to be innovative and explore continuous improvement opportunities.  Successful candidates will provide industry-leading customer service on a daily basis.

The Key Responsibilities :

• Upon first notice of loss, make initial contact with the beneficiary, advisor, or legal representative to establish rapport, set expectations, review claim requirements, and answer claim related questions.
• Adjudicate complex claims including but not limited to Trusts, Foreign Deaths, Estates, Collateral Assignments and Complex Manner of Death (I.e., Homicide, Suicide, Accident, Pending Investigation, etc.)
• Assess specific client needs to determine best service requirements to deliver timely, effective, and empathetic service.
• Demonstrate care, compassion, and empathy.
• Involve advisor to assist with timely submission of claim requirements as needed, or at advisor’s request.
• Provide timely status updates and respond to customer inquiries throughout the claim experience through phone, email, written communication, etc.
• Be knowledgeable on all payment options; clearly explain and confirm with beneficiary, advisor, or legal representative as appropriate during initial and subsequent contacts.
• Assist claimant with coordinating timely receipt of pending claim requirements as needed. (i.e., death certificate, divorce decree, trust / estate documents, etc.)
• Effectively partner with independent vendors and business partners to obtain the necessary information and relevant claim inquiries needed to complete a timely and quality investigation pursuant to case specific factors.
• Be knowledgeable on requirements related to legal issues, foreign deaths, and other matters requiring further investigation or consultation. Follow referral protocol to the appropriate business support resource in a timely manner. (I.e., SIU, Legal, Underwriting, Consultant, etc.)
• Ability to recognize and understand the provisions of policy riders. (I.e., ADB, CIA, IPA, OIR, etc.)
• Provide accurate values, current and future state on varying policy types to allow for informed decisions.
• Takes initiative to analyze and compile recommendations prior to presenting questions.
• Utilize resources to approve claim for payment based on in good order requirements.
• Prioritizes and balances time, actions, resources, and initiatives to ensure results are achieved.
• Participates in initiatives, such as but not limited to problem solving, documentation, Kaizen Events, and Projects.

The Minimum Qualifications

The Ideal Qualifications

What to Expect as Part of MassMutual and the Team

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MassMutual is an equal employment opportunity employer. We welcome all persons to apply.

If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.

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