Sr Claims Examiner

Job Description Responsibilities 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. 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. Qualifications 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 Working Conditions Hybrid / Remote Compensation Unfortunately the detailed compensation information is only provided as a good‑faith estimate. The salary for this position generally ranges between $46,000 and $58,000, depending on qualifications, operational needs and other factors permitted by law. Bonus Eligibility This position is typically eligible for an Annual Bonus based on the Company Bonus Plan and individual performance, at the discretion of the Company. Visa and Work Eligibility Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. Benefits Competitive Pay Bonus for Eligible Employees Benefits Package Pension Plan 401k Match Employee Stock Purchase Plan Tuition Reimbursement Disability Insurance Medical Insurance Dental Insurance Vision Insurance Employee Discounts Career Training & Development Opportunities Health and Work/Life Balance Benefits Paid Time Off starting at 160 hours annually for employees in their first year of service. Ten paid holidays per year (typically mirroring the New York Stock Exchange holidays). Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars Parental Leave – fifteen 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. Adoption Assistance Employee Assistance Program Back‑Up Care Program PTO for Volunteer Hours Employee Matching Gifts Program Employee Resource Groups Inclusion and Diversity Programs Employee Recognition Program Referral Bonus Programs 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. #J-18808-Ljbffr Transamerica