Remote Claims Examiner – Life & Annuities

Transamerica Corporation; United States; Remote; USD 42,000 - 48,000; Full time

Benefits offered by this job

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

Job summary

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.

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.

Responsibilities

• 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.

Skills

Claims experience

Communication skills

Organizational skills

Analytical skills

Adaptability

Education

Associate’s degree in a business field

Job description

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.