Claims Adjudicator

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🕒 Setembro 25

🧀 Wisconsin – Remoto

🧀 Wisconsin – Remote

⏰ Tempo Integral

🟢 Júnior

🚫👨‍🎓 Sem graduação necessária

👻 Score fantasma 12%

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National Guardian Life Insurance Company

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 1909

💼 Consultoria

🏥 Saúde

🛡️ Seguros

Consulting • Healthcare • Insurance

Desde 1909, a National Guardian Life Insurance Company (NGL) tem sido uma das empresas de seguro de vida independentes mais bem-sucedidas e bem avaliadas dos Estados Unidos. A NGL especializa-se em uma gama de produtos inovadores para a jornada da vida, proporcionando às pessoas estabilidade financeira, orientação cuidadosa e tranquilidade para viver uma vida com confiança, dignidade e graça.

Descrição

• Accurately adjudicate claims within stated service goals • Follow established written processing procedures • Verify proper forms are received according to state regulation • Enter and process whole life, term life, universal life, interest-sensitive, acquisition preneed, final expense, preneed, trust, Texas preneed, annuity, contestable, and rider claims • Accurately reconcile Texas preneed claims and verify file documentation • Accurately calculate cost basis on basic annuity claims • Follow up on claims in writing within state-regulated time frames • Provide phone support for claims-related calls and letter correspondence • Communicate empathetically with policyholders, agents, funeral directors, beneficiaries, and other customers verbally, in writing, and by email • Contact agents, funeral homes, beneficiaries, and other customers to obtain missing information • Prepare correspondence for all steps in the claim process and customer inquiries • Research insured status and search databases to confirm status • Update spreadsheets and document findings appropriately • Participate in group decision-making and support teammates • Manage personal time off, breaks, and lunches to ensure team coverage • Help maintain team standards and goals • Investigate ambiguous issues, identify root causes, suggest alternatives, resolve difficulties, and escalate issues with recommendations • Complete assigned projects, tasks, and milestones by agreed-upon due dates • Perform other related work as requested or required

🎯 Requisitos

• Minimum: High School or GED • One year claims processing experience or equivalent business experience • Intermediate knowledge of NGL and acquisition products and procedures • Intermediate oral and written communication skills • General PC and office machine knowledge • Typing skills of at least 45 words per minute and 5,500 alphanumeric keystrokes per hour • Knowledge of basic accounting skills • Ability to work in a team environment • Organized and detail oriented • Ability to quickly search the Internet and other databases • Preferred: two years customer service or insurance/financial experience • Preferred: LOMA Level I Certificate • Preferred: LOMA ACS • Preferred: Wisconsin Preneed Certification

🏖️ Benefícios

• 20 days of Paid Time Off growing to 25 days after 5 years • 11 Paid Holidays (10 company holidays and 1 personal holiday of your choice) • Health care, dental and vision plans • Up to $1,500 (Family) or $1,000 (Single) annually towards a Health Savings Account • Annual bonus based on company performance • Paid Parental Leave • 401(k) match up to 9% • Paid Sabbatical after 8 years • Paid Volunteer Time • Education Assistance Program • Employee Recognition Program • Employee Resource Groups • Professional and personal development opportunities • Flexible work environment with fully remote, hybrid, or onsite options where available • Comprehensive Total Rewards package • Reasonable accommodations for qualified individuals with disabilities