What are the responsibilities and job description for the Long Term Care Claims Consultant position at RGA Reinsurance Company?
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.
Overview
Performs external client quality assurance reviews (audits) to verify accuracy of Long-Term Care claims adjudication practices and to ensure compliance with the terms of the treaty(ies). Maintains relationships with client companies and RGA Re associates to ensure desired changes in practice are obtained. Provides technical expertise on complex - claims.
What you will do
- Performs external client quality assurance reviews (audits) to verify accuracy of Individual Health claims adjudication practices and to ensure compliance with the terms of the treaty(ies).
- Follows the internal and external process for effective customer claims evaluations and feedback.
- Performs data analysis of trends in risks and assessment of risks.
- Represents RGA Re at industry meetings.
- Maintains positive relationships with customers encourages their overall customer practice to the advantage of RGA Re. Discusses specific claims matters with clients.
- Keeps up to date with changes in long term care 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 LTC 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.
Qualifications
LI-OJ1
What you can expect from RGA :
Compensation Range :
74,150.00 - $105,295.00 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.
Salary : $74,150 - $105,295
