Intermediate Claims Examiner

Transamerica Corporation; United States; Remoto; USD 42.000 - 48.000; Tempo integral

Benefícios oferecidos por esta vaga

Competitive Pay

Annual Bonus

Benefits Package

401k Match

Tuition Reimbursement

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Holidays

Wellness Program

Parental Leave

Adoption Assistance

Employee Discounts

Resumo da vaga

Transamerica Corporation in the United States is seeking a Claims Analyst to evaluate and analyze documentation for claim payments or denials in accordance with policy provisions and state regulations.

Under supervision, you will review claims, communicate with claimants and providers, and coordinate with the legal and fraud teams to ensure accuracy and compliance. A 2-year claims background and strong knowledge of life and annuity products are preferred.

Qualificações

• 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.

Responsabilidades

• Analyze information/documentation to determine how to proceed with a review of a claim.
• Document correspondence and conversations with claimants, providers, and others.
• Correspond verbally and in writing with claimants, medical providers, and other parties.
• Work with department manager, legal counsel, medical director, and others to gather information for contested claims.
• Monitor claims for fraud and maintain compliance with regulations.

Conhecimentos

Claims experience

Communication skills

Organizational skills

Analytical skills

Adaptability

Formação

Associate’s degree in a business field

Descrição da vaga

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.

What We Offer

What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well‑being of our employees.

• Compensation 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
• Inclusion & Diversity

Transamerica’s Parent Company

Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity.

* As of December 31, 2023 At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential unleashed by 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.

* Transamerica is a part of Aegon, an integrated, diversified, international financial services group. The Aegon companies employ over 21,500 people and have approximately 31.7 million customers.* For more information, visitwww.transamerica.com.

* As of December 31, 2022 For more information about Transamerica’s privacy practices, click here.