Claims Examiner (Employee Benefits)

Job Family
Claims
Who We Are
Transamerica has been helping people feel better about the future for more than 100 years. We provide investment, retirement, and life insurance solutions to more than 11 million customers throughout the U.S. But the way we see it, our responsibility goes beyond our clients’ accounts. We’re in the business of helping people live well and empowering them to create a better tomorrow through the financial and health-related habits they form today. We help people prepare by providing solutions that consider the whole picture.
What We Do
Transamerica is organized by lines of business (Life Insurance, Annuities, Mutual Funds, Retirement Plans, Employee Benefits, and Financial Assets), which are supported by Transamerica Corporate (Corporate Development; Finance; Internal Audit; Legislative, Regulatory & Policy; Office of the CEO; People, Places & Brand; Risk; and Technology).
Summary
Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with limited authority limits.
Transamerica may offer positions at different job levels including, but not limited to, base, intermediate, senior, lead, etc. Offers will be based on candidate’s relevant experience, knowledge, and skills.

Responsibilities:

• Correspond verbally and in writing with claimants, medical providers, medical examiners, and law enforcement.
• Review claims and outside sources used in the review.
• Under direct 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.
• Work closely with department manager, legal counsel, medical director, claims assistants, and other departments to gather information for contested claims.
• Document correspondence and conversations.
• Maintain compliance with regulations.
• Monitor claims for fraud and proceed according to each situation, such as engaging the Fraud team or additional research.

Qualifications:

• Ability to cross train and learn other products
• Organizational, problem-solving and analytical skills
• Ability to multi-task and adapt to change
• Associate’s degree in a business field or equivalent experience
• Excellent communication and customer service skills

Preferred Qualifications:

• Claims experience
• Strong preference for prior Transamerica experience and/or knowledge of Transamerica Operations

Working Conditions:

• Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations.** 
• Your working location designation is Remote. Remote means that you will not be expected to work from a Company office location on a routine basis. When not working in a Company office location, you will be expected to work from your home or other approved workspace in the U.S.

The salary for this position generally ranges between $33,000 - 48,500 annually. This range is an estimate, based on potential qualifications and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law.  
Additionally, this position is typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company discretion. 
This job description is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.
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

• Vision Insurance
• Dental Insurance
• Career Training & Development Opportunities
• Medical Insurance
• 401k Match
• Disability Insurance
• Tuition Reimbursement
• Pension Plan
• Employee Discounts
• Employee Stock Purchase Plan

Health and Work/Life Balance Benefits

• Inclusion and Diversity Programs
• PTO for Volunteer Hours
• Employee Assistance Program
• Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
• Peer Recognition Program (BRAVO)
• Employee Resource Groups
• Adoption Assistance
• Referral Bonus Programs
• Employee Recognition Program
• Employee Matching Gifts Program
• College Coach Program
• Back-Up Care Program
• 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.
• Paid Time Off starting at 160 hours annually for employees in their first year of service.
• Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars

Inclusion & Diversity
Transamerica has made a strong commitment to inclusion and diversity, and we are proud to be an organization where all perspectives are valued. Transamerica has earned recognition for its strong efforts year-over-year, including from the Human Rights Campaign’s Foundation Corporate Equality Index, the Diversity Best Practices Inclusion Index, and Seramount’s “100 Best Companies” list.
In addition, as part of Transamerica’s commitment to maintaining an inclusive workplace, the company sponsors employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees and provide a supportive environment for raising diversity awareness and promoting inclusive behavior.
Giving Back
Transamerica believes our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a combination of financial grants and the volunteer commitment of our employees, this foundation supports nonprofit organizations focused on the education, health, and well-being of the communities where we live and work.
https://www.transamerica.com/why-transamerica/aegon-transamerica-foundation
Transamerica’s Parent Company
Aegon acquired the Transamerica business in 1999. Aegon’s roots go back more than 175 years to the first half of the nineteenth century. Since then, Aegon has grown into an international company, with businesses in the Americas, Europe, and Asia. Today, Aegon is one of the world’s leading financial services organizations, providing life insurance, pensions, and asset management. 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.
Websites
Transamerica | Protecting Your Wealth and Health since 1906
Aegon Group Corporate Website | Aegon
Management Team
Transamerica Leadership - Standing For Financial Innovation Since 1906 | Transamerica