Intermediate Claims Examiner

Transamerica; Cedar Rapids (IA); Remote; USD 42,000 - 48,000; Full time

Job summary

Transamerica is seeking an Intermediate Claims Examiner for a remote position in the United States, with potential in Cedar Rapids, Iowa. You will evaluate and analyze documentation to process claim payments or denials according to policy provisions and state regulations.

Under supervision, you will gather information from various sources, communicate with claimants and providers, and ensure compliance. The role offers a competitive salary and annual bonus eligibility, with a supportive team

Qualifications

• Associate’s degree in a business field or equivalent experience.
• Two years of claims experience.
• Knowledge of life and annuity product language and regulatory rules.
• Strong communication and customer service skills.
• Excellent organizational, problem-solving, and analytical abilities.
• Ability to cross train and learn other products.
• Ability to multi-task and adapt to change.

Responsibilities

• Analyze information to determine claim review steps and obtain additional information.
• Review claims and outside sources used in the review.
• Document correspondence and conversations.
• Correspond with claimants, medical providers, medical examiners, and law enforcement.
• Collaborate with managers, legal counsel, medical director, and other departments for contested claims.
• Monitor claims for fraud and coordinate with Fraud team as needed.
• Maintain compliance with regulations.

Skills

Communication skills

Organizational skills

Cross training

Multi-tasking

Life & annuity knowledge

Education

Associate’s degree in a business field or equivalent experience

Job description

Intermediate Claims Examiner### Intermediate Claims ExaminerApply: Work From Home, USA: Cedar Rapids, Iowa: Full time: Posted Today: R20063164**Job Family**Claims**About Us**At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests.Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment — one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there.**Who We Are**We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life.Today, we’re part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what’s important to them.We’re empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good — for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.**What We Do**Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs.Transamerica employs nearly 7,000 people. It’s part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.\\* For more information, visit transamerica.com.**Job Description Summary**Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with moderate authority limits.**Job Description****Responsibilities*** Under general supervision, 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.* Review claims 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 additional research.* Maintain compliance with regulations.**Qualifications*** Associate’s degree in a business field or equivalent experience* Two years of claims experience* Good understanding of life and annuity product language and 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**Working Conditions*** Remote (Call Center) Environment **Compensation:**The salary for this position generally ranges between $42000-$48,000. This range is an estimate, based on potential employee qualifications, operational needs and other considerations permitted by law. The range may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2. **Bonus Eligibility:**This position is also typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company Discretion. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. **Disclaimer:** *Beware of fake job offers!*We’ve been alerted to scammers impersonating Transamerica recruiters, particularly for remote positions. Please note:* We will **never** request personal information such as ID or payment for equipment upfront.* Official offers are sent via **DocuSign** following a verbal offer—not through text or email.*This job description is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.*