The life insurance industry runs smoothly thanks to a variety of professionals working together — from agents who help you pick a policy to investigators who ensure claims are genuine. Let’s take a look at some of the key roles that make this system work:
⦁ Insurance agent:
An insurance agent helps customers understand different life insurance products, explains benefits and premiums, and assists with applications — acting as the first point of contact between the insurer and the policyholder.
⦁ Insurance broker
Unlike agents, brokers are independent and work with multiple insurers. They compare policies across companies to recommend the most suitable life insurance plans tailored to a client’s specific needs.
⦁ Actuary
Actuaries use data, statistics, and models to assess financial risk, calculate premium rates, and ensure the insurance company remains financially stable and can handle future claims.
⦁ Underwriter
Underwriters play a crucial role in the life insurance underwriting or term life insurance underwriting process. They evaluate each applicant’s risk by reviewing health history, lifestyle habits, and financial background before policy approval.
⦁ Claims Adjuster
They investigate life insurance claims, verify policy coverage, estimate loss, and negotiate settlements to ensure policyholders receive accurate payouts based on policy terms.
⦁ Claims Examiner
Examiners review claim details and assess reports from adjusters. They make the final call on whether a life insurance claim should be approved, denied, or require further review.
⦁ Insurance Investigator
Investigators dig deeper into suspicious or high-risk claims. They check for potential fraud by interviewing individuals, gathering evidence, and helping insurers avoid false payouts.
⦁ Customer Service Representative
They support customers through the policy lifecycle — answering queries, updating details, helping with claims, and ensuring a smooth experience for both new and existing policyholders.