Penn Mutual · 10 hours ago
Sr Claims Examiner I
United States
Full-time
Remote
Mid, Senior Level
$55K/yr - $65K/yr
3+ years expPenn Mutual is a company that has empowered individuals, families, and businesses for over 175 years. They are seeking a Sr Claims Examiner I to handle death claims with moderate complexity, ensuring accurate processing in accordance with contract provisions, policies, and regulatory guidelines.
Financial ServicesInsurance
Responsibilities
Review and adjudicate standard and moderately complex life and annuity claims in compliance with policies and regulations
Adjudicates and pays claims within established service level agreements (SLAs) up to $1M
Validate beneficiary designations and process payments accurately within documented procedures and team SLAs
Applies established procedures and regulatory guidelines to determine if requests are in “good order.”
Identify and escalate highly complex or unusual cases to senior team members or management
Maintain accurate records and documentation for all claims handled
Communicate effectively with beneficiaries, agents, and internal stakeholders to resolve inquiries and champion strong relationship building and customer service
Navigate multiple administrative systems, workflows, and imaging tools simultaneously with a high level of organization and attention according to standard operating procedures (SOPs)
Participate in training and development activities to enhance technical knowledge and skills
Adheres to Service Level Agreements (SLAs) and individual/team metrics
Ability to work core business hours between 8:30 AM to 6:00 PM EST
Qualification
Required
Strong attention to detail and organizational skills
Ability to work independently and manage assigned workload efficiently
Foundational knowledge of life insurance products and claims processes
Strong customer service mindset with demonstrated professionalism, empathy, accountability and ownership
Strong analytical mindset with proven problem-solving abilities and math skills
Effective written and verbal communication skills
Proficiency with digital tools and claims systems
Demonstrated accuracy, organization skills, and ability to work to meet deadlines and SLAs
Ability to learn and adapt to changing procedures and regulations
Ability to work with others in a collaborative team environment
Demonstrated ability to learn and apply new digital tools, including AI applications such as Microsoft CoPilot
3–5 years of experience in life, annuity, or RPS claims or related field
Preferred
Bachelor's degree preferred or equivalent work experience
Industry certifications (e.g., ALHC, FLMI, Series 6 or 26, HIAA, etc.) are a plus but not required
Company
Penn Mutual
Penn Mutual helps individuals and families do more in life by creating solutions that deliver the complete value of life insurance.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
David O'Malley
President and CEO
Marianne Cumming
Vice President, Chief Medical Director
Recent News
2025-11-03
2025-09-15
Company data provided by crunchbase