National Guardian Life Insurance Company · 11 hours ago
Claims Adjudicator
Madison, Wisconsin, United States
Full-time
Hybrid
Entry Level
1+ years expNational Guardian Life Insurance Company (NGL) is one of America’s most successful independent life insurance companies, specializing in innovative products for financial stability. They are seeking a Claims Adjudicator responsible for processing claims, communicating with customers, and ensuring compliance with state regulations.
InsuranceLife Insurance
Responsibilities
Accurately adjudicate claims within stated service goals
Follow established written processing procedures
Verify proper forms are received according to state regulation
Accurately enter and process:
Whole life
Term Life
Universal life & Interest sensitive
Acquisition Preneed
Final Expense
Preneed
Trust claims including Tru Trust, NGL Funeral Expense Trust, and NGL Estate Planning Trust
Preneed Texas including accurate reconciliation and file documentation verification
Annuities
Contestable claims including referring claims to Underwriting as needed
Rider claims including accidental death, child/family rider, and spouse rider
Accurately calculate cost basis on basic annuity claims
Follow-up timely on all claims in writing within state regulated time frames
Provide phone support for all claims related calls and letter correspondence
Ability to effectively communicate, with empathy when appropriate, to our customers verbally, in writing, and via email
Ability to actively listen and appropriately respond to others
Provide phone support for claims related calls while maintaining team service goals
Contact agents, funeral homes beneficiaries, and other customers to obtain missing information when needed
Prepare proper correspondence for all steps in the claim process and as needed to respond to customer inquires
Ability and willingness to work with others in a team environment
Participate in group decision making, listening, and responding constructively to others
Offer help to teammates when the need arises
Manage and adjust personal time off, breaks, and lunches to insure sufficient team coverage
Help ensure that team standards and goals are maintained
Transfer knowledge from one process and apply it to another like process regarding common situations
Able to gather most needed data and petition input to help recognize the symptoms and root causes of distinct problems
Examine defined issues with ambiguous causes
Suggest alternative approaches that meet the needs or the organization, the situation, and those involved
Resolve difficulties and escalate issues with suggestions for additional inquiry
Follow established written processing procedures
Search databases to confirm Insured status
Update spreadsheets and document appropriately
Complete assigned projects, tasks, and/or milestones by agreed upon due dates including performing other related work as requested or required
Qualification
Required
Minimum: High School or GED
One year claims processing experience or equivalent business experience
Intermediate knowledge of NGL and acquisition products and procedures
Intermediate communication skills--oral and written
General PC and office machine knowledge
Typing skills of at least 45 words per minute and 5500 keystrokes per hour alphanumeric
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
LOMA Level I Certificate
LOMA ACS
Wisconsin Preneed Certification
Two years customer service or insurance/financial experience preferred
Benefits
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
And much more!
Company
National Guardian Life Insurance Company
Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Brian Hogan
Sr VP & CFO - Retired
Nancy Stoddard
SVP & CFO at National Guardian Life
Recent News
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