Senior Claims Examiner

Transamerica is a leading provider of life insurance, retirement, and investment solutions in the United States. Founded in 1904, the company focuses on helping individuals and businesses achieve financial security and independence through a broad range of products including life insurance, annuities, mutual funds, and retirement plans. Transamerica is committed to delivering innovative financial solutions and personalized service to meet the evolving needs of its customers. As part of the global financial services industry, Transamerica emphasizes long-term financial planning and risk management to support its clients' financial goals.

Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with increased authority limits. Analyze received information to determine review procedures, manage claim reviews, communicate with claimants, medical providers, and legal entities, monitor for fraud, and ensure regulatory compliance. May testify in depositions, hearings, and trials, and assist peers with processing questions. The role requires an associate’s degree or equivalent experience, five years of claims experience, and in-depth knowledge of life and annuity products, regulations, and excellent communication skills. The position is remote (call center environment).

Evaluate and analyze insurance claims to determine payments or denials, ensuring compliance and accuracy.

United States

Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with increased authority limits. Analyze received information to determine review procedures, manage claim reviews, communicate with claimants, medical providers, and legal entities, monitor for fraud, and ensure regulatory compliance. May testify in depositions, hearings, and trials, and assist peers with processing questions. The role requires an associate’s degree or equivalent experience, five years of claims experience, and in-depth knowledge of life and annuity products, regulations, and excellent communication skills. The position is remote (call center environment).Requirements:<ul><li> Associate’s degree in a business field or equivalent experience</li><li> Five years of claims experience</li><li> In-depth understanding of life and annuity product language, provisions, and regulatory/compliance rules</li><li> Excellent communication and customer service skills</li><li> Organizational, problem-solving, and analytical skills</li><li> Ability to cross train and learn other products</li><li> Ability to multi-task and adapt to change</li></ul>Benefits:<ul><li> Competitive Pay</li><li> Bonus for Eligible Employees</li><li> Benefits Package</li><li> Pension Plan</li><li> 401k Match</li><li> Employee Stock Purchase Plan</li><li> Tuition Reimbursement</li><li> Disability Insurance</li><li> Medical Insurance</li><li> Dental Insurance</li><li> Vision Insurance</li><li> Employee Discounts</li><li> Career Training & Development Opportunities</li><li> Health and Work/Life Balance Benefits</li><li> Paid Time Off starting at 160 hours annually for first-year employees</li><li> Ten paid holidays per year</li><li> Wellness program including Wellness Coaching and Reward Dollars</li><li> Fifteen days of paid parental leave per year</li><li> Adoption Assistance</li><li> Employee Assistance Program</li><li> Back-Up Care Program</li><li> PTO for Volunteer Hours</li><li> Employee Matching Gifts Program</li><li> Employee Resource Groups</li><li> Inclusion and Diversity Programs</li><li> Employee Recognition Program</li><li> Referral Bonus Programs</li></ul>

Transamerica

Senior Claims Examiner Evaluate and analyze insurance claims to determine payments or denials, ensuring compliance and accuracy. Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with increased authority limits. Analyze received information to determine review procedures, manage claim reviews, communicate with claimants, medical providers, and legal entities, monitor for fraud, and ensure regulatory compliance. May testify in depositions, hearings, and trials, and assist peers with processing questions. The role requires an associate’s degree or equivalent experience, five years of claims experience, and in-depth knowledge of life and annuity products, regulations, and excellent communication skills. The position is remote (call center environment). Senior Claims Examiner Actuary Transamerica Insurance Financial Services Retirement Planning

The Senior Claims Examiner reviews insurance claims, analyzes documentation, and collaborates with various departments to process claims accurately. The role involves assessing claims for fraud, maintaining regulatory compliance, and possibly testifying in legal proceedings.

Find Your Dream Remote Job

Filters

Visa Sponsorship