Remote Claims Examiner, Life & Annuities

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

Benefits offered by this job

Pension Plan

401k Match

Employee Stock Purchase Plan

Tuition Reimbursement

Disability Insurance

Medical Insurance

Dental Insurance

Vision Insurance

Employee Discounts

Career Training & Development

Job summary

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

The role requires an Associate’s degree and at least two years of claims experience, with strong communication and organizational skills to manage complex reviews remotely in a call-center environment. Salaried role with strong benefits.

Qualifications

• 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.

Responsibilities

• Under general supervision, analyze information to determine how to proceed with a review of a claim and obtain additional information.
• 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 accordingly (Fraud team or additional research).
• Maintain compliance with regulations.

Skills

Excellent communication and customer

Organizational, problem-solving and

Multi-tasking and adaptability

Understanding of life and annuity

Education

Associate’s degree in business or equivalent

Job description

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

The role requires an Associate’s degree and at least two years of claims experience, with strong communication and organizational skills to manage complex reviews remotely in a call-center environment. Salaried role with strong benefits.