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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