Full-Time

Claims Representative 1

Posted on 1/8/2026

Deadline 1/8/27
Legal & General America

Legal & General America

Compensation Overview

$48.5k - $55k/yr

Frederick, MD, USA

Remote

Category
Finance & Banking (1)
Requirements
  • High School diploma or equivalent
  • Some college preferred
  • 1-2 years of experience in life or health claims or customer service/administrative position preferred
  • Typing 35 WPM
  • Proficiency in spreadsheet and word processing software
  • Detail oriented
  • Strong organization skills
  • Outstanding verbal and written communication skills
  • Superior customer service skills
  • Good problem solving and negotiation skills
  • Product knowledge and ability to understand basic contract language
  • Good analytical skills
  • Ability to work in a fast-paced environment
  • Knowledge of Microsoft Office (Word and Excel)
Responsibilities
  • Review and process live rescissions within established productivity and quality standards.
  • Prepare written communication to insureds regarding rescission of in force life insurance policies.
  • Set up, research, review and process non-contestable claims within established productivity and quality standards.
  • Review company records to confirm insurance coverage.
  • Review all beneficiary and title changes and collateral assignments for correctness and generate appropriate correspondence in accordance with state insurance regulations requesting appropriate claim requirements.
  • Open claims files according to departmental procedure.
  • Notify reinsurers of newly filed death claims.
  • Evaluate documentation submitted for processing of claim and confirm eligibility for payment utilizing knowledge of estates, trusts, minor beneficiary requirements, divorce statutes and other regulatory requirements.
  • If documentation is insufficient, request correct or additional requirements needed in order to give the claim further consideration.
  • Correspond and communicate with claimants, attorneys, agents, reinsurers and other company departmental staff to discuss and/or resolve matters relevant to effective claims administration, including competing claim issues.
  • Review progress and status of pending claims with management and discuss problems and suggested solutions.
  • Follow up on all pending non-contestable claims within established regulatory requirements.
  • Follow established escheat procedures on pending claims review and run public records database searches as needed.
  • Process claim on administrative systems using the appropriate Post Mortem Interest statutes, dividend calculations, and contract provisions to reflect settlement or payment of claim to the appropriate party.
  • Send disbursement correspondence and document file reflecting interest and payment amount.
  • Document all activity to support claim file
  • Answer phones and respond to correspondence pertaining to the initial notification of death.
  • Keep abreast of “red flags” for fraud and identify potential issues to prevent payment of fraudulent claims including foreign death requirements.
  • Complete form 712’s as needed.
  • As required, bill reinsurer for their share of the liability and update appropriate system.
  • Communicate with reinsurers as needed on problem cases.
  • Keep abreast of claims related regulatory requirements.
  • Operate in a team environment and support other team members to enhance overall productivity.
  • Complete all other projects and tasks assigned by management.
Desired Qualifications
  • Some college preferred
  • 1-2 years of experience in life or health claims or customer service/administrative position preferred
Legal & General America

Legal & General America

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