Senior Claims Examiner

🕒 April 11

🌾 Iowa – Remote

🌾 Iowa – Remote

💵 $48k - $55k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Transamerica

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1904

💸 Finance

Finance • Insurance • Retirement

Transamerica is a financial services company that provides a diverse range of products and services, including life insurance, retirement planning, mutual funds, annuities, and employee benefits. It aims to help individuals plan for their financial future and live their best lives by offering research-based tools, education, and guidance. Transamerica works with institutions and advisors to deliver solutions and services designed to attend to the evolving needs of individuals and employers. They also focus on retirement security and investment management, emphasizing innovation and leadership in the financial industry.

📋 Description

• Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with increased authority limits. • Analyze information/documentation received to determine how to proceed with a review of a claim and determine methods of obtaining additional information from alternative sources. • Manage the review of a claim and outside sources used in the review. • Document correspondence and conversations. • Correspond verbally and in writing with claimants, medical providers, medical examiners, and law enforcement. • Work closely with department manager, legal counsel, medical director, claims assistants, and other departments to gather information for contested claims. • Monitor claims for fraud and proceed according to each situation, such as engaging the Fraud team or conducting additional research. • Maintain compliance with regulations. • May testify in depositions, hearings and trials; communicate the Company’s position regarding the claim. • Assist peers with processing questions in the absence of higher level staff. • May serve as a back up to review and authorize pending payments calculated by peers, within approval authority.

🎯 Requirements

• Associate’s degree in a business field or equivalent experience • Five years of claims experience • In-depth understanding of life and annuity product language, provisions, and regulatory/compliance rules and regulations. • Excellent communication and customer service skills • Organizational, problem-solving and analytical skills • Ability to cross train and learn other products • Ability to multi-task and adapt to change

🏖️ Benefits

• Competitive Pay • Bonus for Eligible Employees • Benefits Package • Pension Plan • 401k Match • Employee Stock Purchase Plan • Tuition Reimbursement • Disability Insurance • Medical Insurance • Dental Insurance • Vision Insurance • Employee Discounts • Career Training & Development Opportunities • Health and Work/Life Balance Benefits • Paid Time Off starting at 160 hours annually for employees in their first year of service. • Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). • Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars • Parental Leave – fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. • Adoption Assistance • Employee Assistance Program • Back-Up Care Program • PTO for Volunteer Hours • Employee Matching Gifts Program • Employee Resource Groups • Inclusion and Diversity Programs • Employee Recognition Program • Referral Bonus Programs