Sr. Claims Examiner

About Transamerica

At Transamerica we honor hard work, innovative thinking, and personal accountability. We serve people through insurance, retirement, and investment solutions.

Evaluate and analyze documentation for claim payments or denials according to policy and state regulations, with increased authority limits.

• Analyze information/documentation to determine how to proceed with a review of a claim and determine methods of obtaining additional information from alternative sources.
• Manage the review of a claim 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 conducting additional research.
• Maintain compliance with regulations.
• May testify in depositions, hearings and trials; communicate the Company’s position regarding the claim.
• Assist peers with processing questions in the absence of higher level staff.
• May serve as a back up to review and authorize pending payments calculated by peers, within approval authority.

• Associate’s degree in a business field or equivalent experience
• Five years of claims experience
• In-depth understanding of life and annuity product language, 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

• Remote (Call Center) Environment

Salary range $48,000‑55,000 annually. Eligible for an annual bonus based on company performance. Applicants must be authorized to work in the United States. No visa sponsorship is offered at this time.

• Pension Plan
• 401k Match
• Employee Stock Purchase Plan
• Tuition Reimbursement
• Disability Insurance
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Employee Discounts
• Career Training & Development Opportunities
• Paid Time Off starting at 160 hours annually for employees in their first year of service.
• Ten paid holidays per year.
• Wellness Program including Coaching and Reward Dollars.

Transamerica is an equal opportunity employer. We welcome applicants from all backgrounds and are committed to fostering a diverse and inclusive workplace.