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Job Bank

There are currently 5 job posts in the Job Bank.

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Please forward posts to Darci Chuba at dchuba@claim.org


Post 1

Company: Transamerica

Location: St. Petersburg, FL

Job Title: Senior Claims Examiner

Company Information:


The Transamerica companies offer a wide array of innovative financial services and products with a common purpose: to help individuals, families, and businesses build, protect and preserve their hard-earned assets. With more than a century of experience, we have built a solid reputation on solid management, sound decisions and consumer confidence. Transamerica is a part of AEGON, an international life insurance, pension, and asset management company based in The Hague, the Netherlands. AEGON has businesses in over twenty markets in the Americas, Europe and Asia, AEGON companies employ approximately 26,500 people and have some 40 million customers across the globe. For more information, visit www.transamerica.com.

Divisional Information:


Transamerica Life & Protection (L&P) division provides operations, information technology, legal, marketing, and finance support to internal agents and independent producers who market the companies’ life insurance, health insurance, long-term care insurance, marketing services, and investment products. We are committed to enhancing financial results through creativity, innovation, risk management, and service while treating our policyholders, employees, and other customers with integrity and respect. We offer competitive compensation, a comprehensive benefits program, and the opportunity for professional growth and advancement.

Position Description:


Evaluates and analyzes documentation necessary for claim payments or denials according to the policy/certificate provisions and state regulations with increased authority limits.

Responsibilities:

  • Evaluates and analyzes documentation thoroughly to determine claim processing according to policy/certificate provisions and state regulations with increased authority limits.
  • Analyzes any additional information/documentation received to determine how to proceed with a review of a claim and determine methods of obtaining information from alternative sources.
  • Manages the review of a claim and the outside sources used in the review.
  • Thoroughly documents correspondence and conversations.
  • Corresponds verbally and in writing with claimants, medical providers, medical examiners, and law enforcement.
  • Works closely with manager claims examiner, legal counsel, medical director, claims assistants, and other departments.
  • Monitors claims for fraud and proceeds accordingly.
  • May testify in depositions, hearings and trials; communicates the Company’s position regarding the claim.
  • Maintains compliance with regulations and respond to any insurance department complaints.
  • Trains other examiner trainees and examiner II positions in the system and products. Cross trains to learn additional products.
  • Assists with department and companywide projects.
  • Executes quality review in teams for accuracy and adherence to procedures, sensitive transactions, and regulatory standards; SEC/SOX.
  • Reviews and authorizes pending payments calculated by peers.
  • Takes an active role in creating an environment of innovation, collaboration, transparency, accountability and trust.

Required Qualifications:

  • Bachelor’s degree or equivalent work experience
  • 5 years Life claims experience; product and provisions knowledge
  • Strong organizational, problem solving and analytical skills
  • Flexible and adapts well to change
  • Able to multi-task and reset priorities effectively.

Pay, Benefits, and Work Schedule:

FLSA: Exempt

Benefit eligible employees qualify for the AEGON USA, Inc. benefit package, which is a comprehensive package including optional Health, Dental, Vision, Flexible Spending Accounts, 401k, and more!

How to Apply:


Click here to apply

If you experience technical problems during the application process, please email applicantsupport@transamerica.com.

EEO Statement:


All Transamerica companies are equal opportunity employers and do not discriminate against any applicant or employee because of age, religion, sex, gender identity, genetic information, race, color, national origin, pregnancy, sexual orientation, marital status, participation in the uniformed services (e.g. U.S. Armed Forces, National Guard), physical or mental disability, or any other status protected by federal, state, or local equal employment opportunities laws. This policy extends to recruiting and hiring, working conditions, training programs, promotions and transfers, use of Company facilities, and all other terms, conditions and privileges of employment.

Posted 11/10/14


Post 2

Company: The Guardian Life Insurance Company

Location: Bethlehem PA (Travel Accommodations negotiable, if warranted)

Job Title: Sr. Life Claims Examiner/Life Claims Consultant

Position Objective:

:
We are seeking two experienced life insurance claim examiners to fill full or part-time positions (one temporary assignment and one permanent position). The positions are responsible for the quality evaluation, management, and risk determination relating to death and/or disability waiver of premium claims, aimed at meeting regulatory compliance and ensuring customer satisfaction of the highest level. Title and salary negotiable and commensurate with experience.

Principal Accountabilities:


Reviews claim information received for good order. Identifies and validates appropriate payee. Calculates/verifies correct payment amount. Performs appropriate research to properly respond to inquiries or make claim risk decisions. Makes decisions to accept or deny one-time or continued risks. Processes system maintenance and approves payments within administrative/claim systems up to appointed approval limit. Ensures accurate valuation and recording of claim data and activities, including those related to reinsurance recoveries.

Prepares correspondence for or conducts telephonic communications with claimants, third parties, internal partners, agents/brokers, etc to obtain proper evidence of loss needed to make timely claim determinations. Provides service with an orientation aimed at meeting or exceeding customer expectations, while balancing the needs of the organization and regulatory environment.

Understands and follows procedures and regulatory requirements regarding claim processing, privacy, anti-money laundering, fair claim settlement practices, etc. Identifies contestable or complex claim situations and follows appropriate referral procedures. Works collaboratively with claim department members to resolve issues and make claim determinations.

Skills and Knowledge:

  • Working knowledge of whole life and universal life insurance products, claim analysis and workflow.
  • Beginner to Intermediate level competency in office software tools (word processing, spreadsheet, and email), keyboarding skills, and Windows operating system environment.
  • Strong written and oral communication skills
  • Strong customer service orientation
  • Very good mathematical aptitude
  • Attention to detail, including and not limited to data entry, to meet expectations for accuracy and work quality
  • Demonstrated ability to organize, prioritize and manage multiple tasks within time expectations
  • Demonstrated ability to use sound business judgment

Education and Experience:

  • College degree preferred
  • Minimum 3 years life insurance claim experience

Interested Parties Should Contact:


Marilyn LeBrun Barbuito

AVP Individual Life Claims

610-807-6247

marilyn_barbuito@glic.com

Posted 11/04/14


Post 3

Company: Lincoln Financial Group

Location: Greensboro, NC; Hartford, CT

Job Title: Director, Long Term Care Claims Operations

About The Company

Lincoln Financial Group is a Fortune 500 company offering a diverse range of financial services and solutions. With a strong focus on four core business areas — life insurance, annuities, retirement plan services, and group protection — our business is built around supporting, preserving, and enhancing our customer's lifestyles and providing better retirement outcomes. Led by over 9,000 employees, Lincoln Financial provides the tools and advice to help individuals take charge of their futures.

The Role

This position will provide leadership and direction to ensure group results for Long Term Care (LTC) Claims.

Responsibilities

Leadership

  • Directs and provides leadership to continually improve the capability and results for his/her assigned area(s) of responsibility.
  • Establishes and implements priorities, performance goals and objectives to ensure group results for his/her assigned area(s) of responsibility.
  • Directs and evaluates individual/team performance and takes appropriate action to meet and/or exceed performance standards for assigned area(s) of responsibility.
  • Directs and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
  • Identifies and directs the implementation of process improvements that significantly reduce workloads or improve quality across the department for his/her assigned area(s) of responsibility.
  • Provides subject matter expertise to team members and internal/external stakeholders on complex assignments/projects for his/her assigned area(s) of responsibility.
  • Builds organizational capability within his/her assigned area(s) of responsibility.
  • Ensures that top talent is hired and retained for his/her assigned area(s) of responsibility.
  • Provides training and development opportunities, including stretch assignments, for team members and gives honest and open feedback to aid in the development of talent.
  • Maintains knowledge on current and emerging developments/trends for assigned area(s) or responsibility, assess the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.

Execution

  • Directs and provides leadership to continually improve strategic initiatives that have substantial impact on the success of Long Term Care claims handling. Directs the planning and execution of strategic plans to successfully meet the annual business operating priorities and create a market competitive advantage for Long Term Care Claims.
  • Directs and has full management accountability for LTC claim staff in accordance with regulatory requirements and corporate strategic direction.
  • Monitors and assesses trends in Long Term Care and LTC Claims, identifies opportunities, and implements industry leading, best practice programs and strategies to enhance the customer experience and improve claim management effectiveness.
  • Monitors and implements claims policy and guidelines in compliance with LTC claim objectives and insurance laws and regulations.
  • Drives continuous improvement within scope of responsibility through initiatives involving people, processes and technology. Includes identifying emerging issues and trends in Long Term Care and LTC claims.

Technical

  • Develops, maintains and analyzes appropriate metrics, governance and control mechanisms for LTC Claims. Uses data and analysis to improve business results by targeting opportunities for process improvement within LTC Claims.
  • Interacts regularly with internal stakeholders such as Sales, Compliance, Legal, Internal Audit, Finance and Actuarial to ensure LTC claims strategy is implemented in a timely and accurate manner.
  • May participate in corporate initiatives or projects on behalf of LTC as needed.
  • Represents company in industry trade groups.

Requirements

Education

  • 4 Year/Bachelor’s Degree or equivalent work experience (4 years of experience in lieu of Bachelors)

Experience

  • 7+ years Long Term Care Claims Experience
  • 3+ years managerial experience
  • Experience with rigorous management processes including budgeting, financial analysis, development of key performance indicators, and strategic planning.

To Apply:

Please see the job description and application instructions on the Lincoln Financal Group website here.

Posted 10/24/14


Post 4

Company: American National Insurance Company

Location: Galveston, TX

Job Title: Claims Specialist

About the Company:

American National Insurance Company was founded in 1905 and is headquartered in Galveston, Texas. American National prides itself on being a family-oriented company. Strong management and prudent reinvestment in the company’s growth have made the company a major provider of insurance and annuities. American National’s mission is to earn the trust of our customers and of our diverse distribution partners by always acting with integrity and fairness, and by working to exceed expectations. We are committed to teamwork and continuous improvement in all that we do. We are prudent stewards of our assets, conservative navigators of risk and steadfast in our resolve to preserve and enhance our reputation for enduring strength and success.

The Role:

American National is looking for an experienced team oriented candidate to join the Life Insurance and Annuity Claims Team to assist in training and administration of claim processing.

 

Responsibilities:

  • Production Management: Oversee team members’ work assignments to ensure all assigned work is current in accordance with departmental standards. Be a Team Player - volunteer to assist others where workload imbalances may occur.
  • Relationships & Service: Take ownership for building a professional, collaborative, efficient working relationship with department staff, customers (e.g. agents, beneficiaries, attorneys, funeral homes, etc.), and other company departments. Willingly cooperates, shares information and ideas, assists others, and is respectful of others in daily interaction will all employees and clients.
  • Problem Solving: Be a self-starter and analytical thinker. Utilize related reference materials and reasonable judgment in order to effectively analyze and evaluate situations resulting in quality decisions that minimize the exposure and risk to the Company while maintaining compliance with state regulations.
  • Growth & Development. Mentor coworkers, clients and other company department personnel to improve ease of doing business & efficiency; improve the client experience; and improve execution of claim processing practices.
  • Leadership and Communication: Lead by example by maintaining a positive attitude, influencing your team to go “above and beyond”, promoting a strong work ethic. Work collaboratively with departmental, divisional and corporate wide management teams to achieve department and corporate goals and objectives.

Requirements

Qualifications:

  • 5+ years’ experience examining Life, Disability Premium Waiver and Annuity Claims.
  • Bachelor’s degree or equivalent experience.
  • Ability to analyze all types of difficult Life, Disability and Annuity claims and reach timely and accurate decisions consistent with the facts developed, laws, company’s claim philosophy and applicable policy provisions.
  • Possess the natural ability to clearly relate, explain and express self to customers, as well as motivate colleagues.
  • Must display highly skilled judgment and have an extremely responsible analytical mind.
  • Proficient written and verbal communication skills are required. Must be able to handle difficult conversations and exhibit conflict management skills.
  • One must have leadership ability and strong work ethic with attention to detail.

To Apply:

Please click here to read the full job description and to apply.


The American National Family of Companies are Equal Opportunity Employers.

Posted 10/06/14


Post 5

Company: American National Insurance Company

Location: Galveston, TX

Job Title: Senior Claims Specialist

About the Company:

American National Insurance Company was founded in 1905 and is headquartered in Galveston, Texas. American National prides itself on being a family-oriented company. Strong management and prudent reinvestment in the company’s growth have made the company a major provider of insurance and annuities. American National’s mission is to earn the trust of our customers and of our diverse distribution partners by always acting with integrity and fairness, and by working to exceed expectations. We are committed to teamwork and continuous improvement in all that we do. We are prudent stewards of our assets, conservative navigators of risk and steadfast in our resolve to preserve and enhance our reputation for enduring strength and success.

The Role:

American National is looking for an experienced team oriented candidate to join the Life Insurance and Annuity Claims Team to assist in training and administration of claim processing.

Responsibilities:

  • Production Management: Oversee team members’ work assignments to ensure all assigned work is current in accordance with departmental standards. Be a Team Player - volunteer to assist others where workload imbalances may occur.
  • Relationships & Service: Take ownership for building a professional, collaborative, efficient working relationship with department staff, customers (e.g. agents, beneficiaries, attorneys, funeral homes, etc.), and other company departments. Willingly cooperates, shares information and ideas, assists others, and is respectful of others in daily interaction will all employees and clients.
  • Problem Solving: Be a self-starter and analytical thinker. Utilize related reference materials and reasonable judgment in order to effectively analyze and evaluate situations resulting in quality decisions that minimize the exposure and risk to the Company while maintaining compliance with state regulations, including the preparation of responses to Department of Insurance complaints.
  • Growth & Development: Mentor coworkers, clients and other company department personnel to improve ease of doing business & efficiency; improve the client experience; and improve execution of claim processing practices.
  • Leadership and Communication: Lead by example by maintaining a positive attitude, influencing your team to go “above and beyond”, promoting a strong work ethic. Work collaboratively with departmental, divisional and corporate wide management teams to achieve department and corporate goals and objectives.

Requirements

Qualifications:

  • 7+ years’ experience examining Life, Disability Premium Waiver and Annuity Claims
  • Bachelor’s degree or equivalent experience.
  • Ability to analyze all types of difficult Life, Disability and Annuity claims and reach timely and accurate decisions consistent with the facts developed, laws, company’s claim philosophy and applicable policy provisions.
  • Possess the natural ability to clearly relate, explain and express self to customers, as well as motivate colleagues.
  • Must display highly skilled judgment and have an extremely responsible analytical mind.
  • Proficient written and verbal communication skills are required. Must be able to handle difficult conversations, exhibit conflict management skills and prepare responses to Department of Insurance complaints.
  • One must have leadership ability and strong work ethic with attention to detail.

To Apply:

Please click here to read the full job description and to apply.


The American National Family of Companies are Equal Opportunity Employers.

Posted 10/06/14


All postings will remain for 60 days unless otherwise noted




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