Senior Claims Examiner

You desire impactful work.

You’re RGA ready

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.

The Senior Claims Examiner analyzes high dollar and complex claims. Verifies that the underlying cession(s) is eligible for reinsurance. Reviews claims in litigation, claims on deaths outside the US and early death claims to identify undesirable trends in underwriting and/or claims adjudication practices that indicate a need for discussion with the client. Refers claims to Underwriting, Medical and/or Legal departments when required. Assists in developing and implementing improvement processes for Claims. Handles retroceded claims that require manual processes.

• Analyzes and processes high dollar, complex claims, claims in litigation and early death 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.
• Identifies undesirable underwriting and/or claim adjudication practices that require a need to elevate claim. Refers claims to underwriting, medical and/or legal departments. May escalate issue to department vice president.
• Processes retroceded claims assures that recoverables on large, complex retroceded claims are paid to RGA on a timely basis.
• Identifies opportunities for investigation or application of “best practices” in client claim activities.
• Participates in internal and client claims audits, as needed, including potential onsite audits.
• Verifies daily claim register by scanning the register to ensure accruals are reasonable, required fields are completed and that the register is free of obvious errors. Authorizes accrual vouchers.
• Assists in training of new or junior associates.
• Processes payment for approved claims via ACH, wire transfer or check.
  
  

Education And Experience

Required

• Bachelor’s Degree or equivalent experience in insurance, reinsurance or financial services
• 6+ years life reinsurance or life insurance claims experience or 6 years combined experience in life claims and life underwriting
  
  

Preferred

• Reinsurance industry knowledge
• Progress toward FLMI, ALHC or other relevant professional accreditation
  
  

Required

Skills and Abilities

• Basic Microsoft Word Skills Intermediate Microsoft Excel Skills Basic Microsoft Outlook Skills Basic SQL skills
• Basic Query skills
• Must be flexible and adaptive to change Takes initiative and is accountable
• Ability to read and interpret insurance and contract documents Ability to multi-task
• Basic goal setting skills
• Ability to share and impart knowledge Value judgment abilities
• Ability to balance detail with departmental goals/objectives
• Ability to work independently and coordinate activities within a team Advanced written and oral communication skills
• Intermediate investigative skills
• Complex analytical and problem solving skills
• Demonstrated ability to negotiate with internal and external customers to resolve issues/problems
• Strong customer service orientation Proficient knowledge of medical terminology
  
  

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

$63,400.00 - $90,050.00 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.