Technical Claims Consultant

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 200 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

Provides technical claims expertise to RGA Re claims associates and clients. Conducts internal claims audits to evaluate the quality of the claims reviews. Identifies process improvements and needs for training. Performs external client audits to verify accuracy of claims adjudication practices and to ensure compliance with the terms of the treaty(ies). Develops relationships with client companies and RGA Re associates to ensure desired changes in practice are obtained. Reviews and approves the liability on large, complex claims. Provides technical expertise on disputed claims. Represents RGA Re in various claims industry activities. May manage senior claims staff.


What you will do

• Develops and implements processes which allows RGA Re to identify and resolve unfavorable trends in ceding company claims handling.

• Establishes and implements an internal and external process for effective customer claims evaluations and feedback.

• Represents RGA Re at industry meetings (presenter, committee member) and exercises influence, as appropriate, with customers.

• Develops positive relationships with customers and encourages their overall customer practice to the advantage of RGA Re.

• Keeps up-to-date with changes in claims adjudication for direct insurance writers. Maintains an awareness of vendors to ensure quality and service. Acts as a resource to customers and other RGA Re associates to assure knowledge transfer.

• Participates in the identification of service opportunities that will encourage enhanced client claim handling.

• Acts in a consulting role with clients and RGA Re associates on large and complex claims.

• Works with all departments in the Operations division and other departments within RGA Re to identify and resolve problems/issues.

• Recommends and participates in the development and implementation of process improvements that may extend beyond area of oversight and with the approval of Operations leadership.

• Collaborates with other members of the US Ops Management team to implement and manage to goals/plans/budgets that align with division and company objectives.

Qualifications

• Bachelor’s Degree in Arts/Sciences (BA/BS) or equivalent related experience Required

• 8+ Years individual life claims experience and 5+ years in supervisory or managerial role Required

• Intermediate Microsoft Word and Microsoft Excel Skills Required

• Basic Microsoft Outlook Skills Required

• Intermediate SQL Skills Required

• Experience in conducting and summarizing audits Required

• Demonstrated expertise in the technical considerations associated with life claims investigations, adjudications and litigation. Required

• Demonstrated understanding of the financial reporting implications of the life/health claims process. Required

• Competent ability to comprehend and interpret insurance and contract documents. Required

• Ability to multi-task and meet tight deadlines Required

• Advanced written and oral communication skills and organizational skills. Ability to share and impart knowledge. Required

• Ability to resolve conflict Preferred

• Ability to improve processes and add value Preferred

• Advanced Query Skills Preferred

• 25% Travel required

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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.

We’re excited to get to know you and connect your unique skills with our global opportunities. To create a modern and seamless experience, we use artificial intelligence (AI) in parts of our preliminary screening process. This technology helps us personalize job recommendations, automate interview scheduling, evaluate candidates based solely on experience—without considering name, gend