Manager, Life & Complex Claims
Job Summary
The Life & Complex Claims Manager provides leadership and technical oversight for a specialized team of Claim Examiners handling life insurance, contestable investigations, foreign deaths, complex legal requests, and living benefit rider claims (Critical, Chronic, and Terminal Illness).This role is responsible for ensuring rigorous investigative standards, accurate contractual interpretation, and sound risk mitigation while delivering compassionate, transparent service to beneficiaries and partners.The Manager leads the operational execution of the Complex Claims Roundtables, acts as a primary liaison with Legal and Underwriting and drives continuous process optimization to reduce cycle times and mitigate risk.
Duties & Responsibilities
- Claim Approval & Adjudication: Provide secondary review and financial approval on life claims, contestable investigations, policy rescissions and living benefit rider claims within established authority limits.
- Contestable Investigation Oversight: Direct end-to-end medical investigation during the contestability period, ensuring adherence to claim guidelines, and state-specific fair claims practices.
- Lead and facilitate the weekly Complex Claims Roundtable, collaborating with Underwriting, Legal, and Compliance to evaluate high-risk
