Sr Claims Examiner II

Job Description:

The Sr Claims Examiner II is a subject matter expert responsible for handling highly complex and sensitive claims within Life, Annuity, RPS, or a combination of all three, including escalated cases, requiring advanced judgment and interpretation. This role provides leadership in process improvements, mentors junior examiners, and serves as a key resource for technical guidance. The position requires deep expertise, strong analytical skills, and the ability to manage risk effectively.

• Independently adjudicate highly complex life, annuity, and/or RPS death claims, ensuring compliance with all regulatory and contractual requirements.
• Exercise sound judgement and utilize appropriate medical and risk resources, adhering to referral policies, and transferring claims to appropriate risk level in timely manner.
• Demonstrate strong relationship building, customer service and communication when interacting with customers and business partners.
• Serve as an escalation point for unusual or disputed cases, providing expert analysis and resolution.
• Lead investigations into complex claims and collaborate with legal, compliance, and other departments as needed.
• Mentor and provide technical guidance to Sr Claims Examiner I and other team members.
• Identify and implement process improvements to enhance efficiency and accuracy.
• Represent the claims function in cross-functional projects and initiatives.
• 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.

• Expert knowledge of life insurance products, claims processes, and regulatory requirements.
• Advanced analytical and decision-making skills with ability to interpret complex contracts.
• Ability to multitask and adapt to a changing environment.
• Detail oriented, organized and accurate.
• Strong leadership and mentoring capabilities.
• Excellent communication and relationship building skills with a customer service mindset.
• Proficiency in claims systems and advanced digital tools.
• Ability to manage risk and drive continuous improvement initiatives.
• Proven experience implementing AI tools to automate or improve work processes.​

• Bachelor’s degree required
• Master’s degree preferred

• Minimum 5–7 years of experience in life, annuity, and/or RPS (combined) claims required
• 10+ years preferred for complex case handling

Industry certifications (e.g., ALHC, FLMI, Series 6 or 26, HIAA, etc.) strongly preferred.

Base Salary Range - $65,000 - $75,000

For over 175 years, Penn Mutual has empowered individuals, families and businesses on the journey to achieve their financial goals. Through our partnership with Financial Professionals across the U.S., we help instill the confidence and reliability that comes from a stronger financial future. Penn Mutual and its affiliates offer a comprehensive suite of competitive products and services to meet the unique needs of Financial Professionals and their clients, including life insurance, annuities, wealth management and institutional asset management. To learn more, including current financial strength ratings, visit www.pennmutual.com.

Penn Mutual is committed to Equal Employment Opportunity (EEO). We provide employment and advancement opportunities to all qualified applicants and associates, according to applicable laws. This is reflected in our practices for hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment, compensation, selection or training, and all other terms and conditions of employment. All employment-related decisions and practices are free from unlawful discrimination. This includes: race, creed, color, national origin, ancestry, citizenship age, gender (including pregnancy), sexual orientation, gender identity or expression, domestic partnership or civil union status, marital status, genetic information, disability, religious observance or practice, liability, veteran status or any other classification protected under applicable law.