Note: The job is a remote job and is open to candidates in USA. Aegon is a company that focuses on providing financial services, and they are seeking a Claims Examiner to evaluate and analyze documentation for claim payments or denials. The role involves reviewing claims, documenting communications, and collaborating with various departments to ensure compliance with regulations.
Responsibilities
- Under direct supervision, 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
- Review claims 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 additional research
- Maintain compliance with regulations
Skills
- Associate's degree in a business field or equivalent experience
- 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
- Claims experience
Benefits
- Annual Bonus of 6% based on the Company Bonus Plan/Individual Performance
Company Overview
Aegon offers products and services in the life insurance, pension, retirement, and asset management fields. It was founded in 1983, and is headquartered in Den Haag, Zuid-Holland, NLD, with a workforce of 10001+ employees. Its website is https://www.aegon.com/.
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