Manager - Employee Benefit Claims

About Us

We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we’re part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what’s important to them. We’re empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good — for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.

What We Do

• World Financial Group, including Transamerica Financial Advisors
• Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions
• Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities

Job Description

We are seeking a Claims Manager to lead a team of Claims Examiners and drive operational excellence within our claim's organization. This role will play a key part in restructuring team workflows, improving claims intake and escalation processes, and partnering closely with contact center operations.

• Plans and organizes the work of Examiners.
• Reviews work in progress as well as conducts audits to insure quality.
• Involved in State Insurance Dept. audits.
• Handles personnel actions including interviewing, hiring, firing, performance reviews, salary recommendations, and coordinates training and development.
• Enforce company rules fairly and impartially.
• Reviews more complex cases and settles or initiates further action within approved authority limits.
• Serves as a technical resource to subordinates and others in the organization.
• Makes sure performance, progress, schedules, and costs are monitored.
• Involved in fraud identification and training.
• Testifies at depositions, hearings, and trials.
• Aid and maintain claim loss and reserve records and report on claims in relationship to company business and industry standards.
• In collaboration with Vice President, establish overall department budget; allocate resources within department; manage department activities to budget.
• Involvement in various projects involving the system, acquiring business, etc.
• Maintain positive, proactive relationships with our clients, agents and other internal departments to meet service objectives.
• Negotiate and monitor relationships with outside investigative firms and death claim payments through banks.

Qualifications

• Bachelor's degree or equivalent work experience required.
• Minimum of 5 years of claims experience.
• Demonstration of management ability.

Preferred Qualifications:

• Leadership skills which fosters an environment of respect, support, and growth within team and peers.
• Problem solving and analytical skills.
• Excellent oral and written communication skills.
• Strong organizational skills.
• Ability to research and interpret information for the completion of claims as well as projects; self-starter; ability to multi-task.

What We Offer

• Comprehensive benefits package designed to support both the personal and financial well-being of our 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
• Health and Work/Life Balance Benefits
• 160 hours of paid time off annually
• 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 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

Our Commitment to Diversity and Inclusion

We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We’re thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women.

Our Parent Company

Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe. It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity.