Life Claims & Variable Annuity Sr Spec

Northwestern Mutual•Milwaukee, WI

10d•Remote

About The Position

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.

Requirements

Bachelor’s degree or an equivalent combination of education and progressively responsible work experience.
A Series 6 FINRA License is required.
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.
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.
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.
Demonstrates a thorough understanding of the underlying financial principles and risks associated with annuity products.
Accurately identifies potential fraud or misrepresentation in annuity applications.
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.
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.
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.
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.
This position has been classified as a Registered Representative under NMIS guidelines and requires fingerprinting.

Nice To Haves

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

Responsibilities

Make fair, accurate, and timely decisions on variable/portfolio death claims, death under Income plans, variable/fixed annuities, and Northwestern Mutual Access Fund accounts.
Maintain 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 tact in all interactions, especially when handling sensitive or contentious claims.
Provide exceptional customer service to policyholders, beneficiaries, and financial advisers, addressing their questions and concerns throughout the claims process.
Communicate claims decisions to beneficiaries and other parties clearly and sensitively, providing detailed explanations and supporting documentation as needed.
Manage phone and transactional responsibilities while demonstrating a strong commitment to confidentiality.
Maintain organization, accuracy, and timeliness in individual case management systems; capture and document claim-related information accurately and/or refer tasks as appropriate.
Maintain production and claim quality standards to ensure efficiency and accuracy.
Participate in continuous improvement initiatives to enhance claims handling processes, reduce turnaround times, and improve accuracy.
Assist with special projects and initiatives as needed to support the business.
Embrace new technology and serve as an advocate by educating beneficiaries and field representatives.
Support digital savvy capabilities in self and others and adapt to changing environments and new situations effectively and positively.