Claims Specialist

Job Description:

Process Specialist – Life Insurance Claims Operations

Work Arrangement

Locations: Atlanta, Georgia or Des Moines, Iowa

Work Model: Hybrid

In-Office Days: Tuesday, Wednesday, and Thursday

Remote Days: Monday and Friday

Hours: 8:00 AM – 5:00 PM EST

About the Role

We are seeking a detail-oriented and experienced Process Specialist to join our Life Insurance Claims Operations team, supporting a Corporate-Owned Life Insurance (COLI) client. This role sits at the intersection of operational excellence and insurance domain expertise, and is ideal for a professional who thrives in a high-volume, compliance-driven environment.

The successful candidate will bring 3–5 years of hands-on experience in life insurance claims processing, with demonstrated ability to manage complex transactions, resolve exceptions, and maintain quality standards across end-to-end workflows. Prior exposure to COLI claims is a strong differentiator.

Key Responsibilities

• Perform detailed review and validation of life insurance claims documentation, policy forms, and supporting evidence to ensure completeness, accuracy, and regulatory compliance.
• Process high-volume, detail-sensitive claims transactions across policy administration systems and workflow tools; research, validate, and resolve discrepancies efficiently.
• Identify and resolve NIGO (Not In Good Order) items, suspense cases, and pending exceptions while minimizing cycle times and rework.
• Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities.
• Maintain accurate and audit-ready case notes, documentation, and activity logs to support compliance reviews and client inquiries.
• Identify trends in errors or exceptions and escalate findings to leadership to drive continuous process improvement.
• Support UAT, post-release validation, and pilot initiatives for system or process enhancements.
• Assist with onboarding and knowledge transfer for new team members as needed.
• Provide back-up coverage across related operational functions and client accounts during peak volume periods.

Required Qualifications

• 3–5 years of experience in life insurance claims processing operations, with strong command of the end-to-end claims lifecycle.
• In-depth knowledge of life insurance products including policy lifecycle events: new business, policy changes, disbursements, claims, and regulatory requirements.
• Proficiency in navigating policy administration systems and workflow platforms in a production environment.
• Solid understanding of applicable state and federal insurance regulations, compliance checkpoints, and documentation standards.
• Strong analytical and problem-solving ability; capable of identifying root causes, resolving exceptions, and escalating appropriately.
• High attention to detail and accuracy with a track record of error-free processing in a regulated environment.
• Effective communicator with the ability to collaborate across functions including Compliance, Financial Services, and Contact Center teams.

Preferred Qualifications

• Direct experience with Corporate-Owned Life Insurance (COLI) claims processing — strongly preferred.
• Familiarity with Life and annuity products and related administration processes.
• Experience supporting UAT or system change validation initiatives.
• Exposure to process improvement, RPA, or AI-assisted operations tools.

Core Competencies

• Attention to Detail & Accuracy — Demonstrates precision in reviewing policy data, contracts, and financial transactions in a regulated environment.
• Accountability & Control Discipline — Follows defined procedures, escalation paths, and approval hierarchies; takes ownership of work quality and resolution.
• Time Management & Prioritization — Manages multiple work items and competing deadlines while consistently meeting SLAs and productivity targets.
• Collaboration & Communication — Works effectively with cross-functional teams to resolve issues and support seamless end-to-end processing.
• Innovation Mindset — Open to identifying and operationalizing process improvements, including analytics and automation tools, within appropriate compliance controls.

Note: Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise).

The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face.

About Us

Infosys McCamish Systems,(http://www.infosysbpm.com/mccamish) located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPM Limited.(www.infosysbpm.com) Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim – generating US$16 billions of recurring premium in less than five years as a virtual insurance company. Infosys McCamish has expert technology and outsourcing credentials, along with a proven business model for re-engineering systems and performing back-office services at a reduced cost, while reinforcing accuracy, speed and security. Seven of the top ten US insurers are among Infosys McCamish’s many BPM clients. Infosys McCamish has its operations spread across Atlanta GA and Des Moines IA in USA.

U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time.

Infosys is an equal opportunity employer, and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.