Claims Examiner

Claims Examiner

RGA is a purpose-driven organization working to solve today's challenges through innovation and collaboration. A Fortune 500 Company and listed among its World's Most Admired Companies, we're the only global reinsurance company to focus primarily on life- and health-related solutions. Join our multinational team of intelligent, motivated, and collaborative people, and help us make financial protection accessible to all.

A Brief Overview

The Claims Examiner processes incontestable claims and contestable claims. Performs robust treaty liability reviews, reviews claims for accuracy, calculates interest as needed, and processes payment for approved claims. Recovers less complex retrocession claim payments.

What You Will Do

Reviews, verifies, and confirms high dollar incontestable claims, and low dollar contestable claims.

Verifies that the cession claimed was properly ceded to RGA Re and was properly established on RGA Re administration system. Takes steps to resolve questions that arise from these claims with assistance as needed.

Refers questionable, contestable or early death claims to underwriting, medical and / or legal departments. Summarizes all issues, with a suggested resolution and refers to department manager or vice president for final resolution.

Recovers less complex retrocession claim payments that flow through the administration system under an automated program. Assures that recoverable on retroceded claims are paid to RGA on a timely basis.

May advise client on claim investigation activities as assigned.

Processes payment for approved claims via ACH, wire transfers or check.

Recognizes early death claims to be escalated

Qualifications

Associate's Degree (AA) or equivalent experience required

2+ Years Claims experience required

Prior Life Claims experience preferred

Basic Microsoft Word Skills; Basic Microsoft Outlook Skills required

Intermediate Microsoft Excel Skills required

Basic SQL skills required

Basic Query skills required

Basic knowledge of accounting required

Intermediate written and oral communication skills; Ability to share and impart knowledge required

Takes initiative and is accountable; Ability to work independently required

Ability to read and interpret treaty language, and to apply it appropriately required

Must possess Investigative skills; Intermediate analytical and problem solving skills required

Ability to multi-task; Ability to balance detail with departmental goals / objectives; Must be flexible and adaptive to change; Basic goal setting skills required

Ability to work well within a team environment and participate in department projects required

Medical knowledge preferred

Progress toward FLMI, ALHC or other relevant professional accreditation Preferred

#LI-OJ1

What You Can Expect From RGA :

Gain valuable knowledge from and experience with diverse, caring colleagues around the world.

Enjoy a respectful, welcoming environment that fosters individuality and encourages pioneering thought.

Join the bright and creative minds of RGA, and experience vast, endless career potential.

Compensation Range :

$50,050.00 - $67,500.00 Annual

Base pay varies depending on job-related knowledge, skills, experience and market location. In addition, RGA provides an annual bonus plan that includes all roles and some positions are eligible for participation in our long-term equity incentive plan. RGA also maintains a full range of health, retirement, and other employee benefits.

RGA is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, age, gender identity or expression, sex, disability, veteran status, religion, national origin, or any other characteristic protected by applicable equal employment opportunity laws.