Senior Claims Examiner

Transamerica

Evaluate and analyze documentation for claim payments or denials according to policy provisions at Transamerica. Collaborate with various departments and maintain compliance with regulations.

Posted 7/14/2026full-timeCedar Rapids • Iowa • 🇺🇸 United StatesSenior💰 $48,000 - $55,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims analysis, regulatory compliance, and effective communication with various stakeholders. Proficient in managing contested claims and monitoring for fraud while maintaining organizational and problem-solving skills.

Highest-signal resume keywords

Claims ExperienceRegulatory ComplianceCommunication SkillsAnalytical SkillsFraud Detection

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisLife and Annuity Product KnowledgeRegulatory Rules UnderstandingDocumentation ManagementResearch Skills

Soft Skills

Customer Service SkillsOrganizational SkillsProblem-Solving SkillsAdaptabilityMulti-Tasking

Certifications & Qualifications

Associate’s Degree in Business

Industry Keywords

Claims ReviewFraud MonitoringMedical Providers CommunicationLegal Counsel CollaborationContested Claims Management

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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

Benefits

Comp & perks

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 (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
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 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