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Intermediate Claims Examiner
Transamerica. Analyze information and documentation to determine how to proceed with claim reviews .
Posted 11/4/2026full-timeRemote • Iowa • United StatesJuniorMid-Level💰 $42,000 - $48,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims analysis, documentation, and compliance with regulatory standards. Proficient in communication and collaboration with various stakeholders to ensure accurate claim processing and fraud monitoring.
Highest-signal resume keywords
Claims AnalysisRegulatory ComplianceCommunication SkillsProblem-Solving SkillsCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ExperienceDocumentation ReviewFraud MonitoringLife and Annuity Product KnowledgeAnalytical Skills
Soft Skills
Organizational SkillsAdaptabilityMulti-Tasking
Certifications & Qualifications
Associate's Degree
Industry Keywords
Claims ProcessingRegulatory RulesCompliance StandardsPolicy ProvisionsCross Training
About the role
Key responsibilities & impact- Analyze information and documentation to determine how to proceed with claim reviews
- Determine methods of obtaining additional information from alternative sources
- Review claims and outside sources
- Document correspondence and conversations
- Correspond verbally and in writing with claimants, medical providers, medical examiners, and law enforcement
- Collaborate with department manager, legal counsel, medical director, claims assistants, and other departments on contested claims
- Monitor claims for fraud and engage the Fraud team or conduct additional research as appropriate
- Maintain compliance with regulations
- Evaluate and analyze documentation for claim payments or denials according to policy/certificate provisions and state regulations, with moderate authority limits
Requirements
What you’ll need- Associate’s degree in a business field or equivalent experience
- Two years of claims experience
- Good understanding of life and annuity product language and 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
- Applicants must be authorized to work for any employer in the U.S.; no employment visa sponsorship available
Benefits
Comp & perks- Competitive Pay
- Bonus for Eligible Employees
- 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 (10) paid holidays per year
- Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
- Parental Leave – fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service
- 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