Senior Claims Examiner

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $48k - $53k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Transamerica

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1904

💼 Consulting

🏥 Healthcare

💸 Finance

Consulting • Healthcare • Finance

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

• Analyze information and documentation to determine how to proceed with claim reviews • Determine methods of obtaining additional information from alternative sources • Manage claim reviews and outside sources used in reviews • Document correspondence and conversations • Correspond verbally and in writing with claimants, medical providers, medical examiners, and law enforcement • Collaborate with department manager, legal counsel, medical director, claims assistants, and other departments on contested claims • Monitor claims for fraud and engage the Fraud team or conduct additional research as appropriate • Maintain compliance with regulations • Testify in depositions, hearings, and trials as needed • Communicate the Company’s position regarding claims • Assist peers with processing questions in the absence of higher-level staff • Serve as backup to review and authorize pending payments 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 • Applicants must be authorized to work for any employer in the U.S. • Unable to sponsor or take over sponsorship of an employment visa

🏖️ Benefits

• Competitive Pay • Bonus for Eligible Employees • Pension Plan • 401k Match • Employee Stock Purchase Plan • Tuition Reimbursement • Disability Insurance • Medical Insurance • Dental Insurance • Vision Insurance • Employee Discounts • Career Training & Development Opportunities • Paid Time Off starting at 160 hours annually for employees in their first year of service • Ten (10) paid holidays per year • 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 • 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