Claims Adjudicator (Temporary-6 months)

We are adding a Claims Adjudicator to our team!

Who We Are:

Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.

NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer Employee Resource Groups for employees to get involved, learn, network, and offer professional and personal development opportunities.

With over 100 years of experience, our passion is to serve people. Learn more. 

Work Environment: NGL offers a flexible work environment where employees can work fully remote, hybrid or onsite at our Madison, Wis. office. We support virtual working arrangements in certain states outside of WI.

A Day in the Life:

The Claims Adjudicator is responsible for processing claims, effectively communicating and corresponding with external and internal customers including policyholders, agents, funeral directors, and beneficiaries. Additional responsibilities include processing various types of claims and service requests along with providing phone support accurately within or exceeding existing service goals. In this role, work is performed under general supervision. The position requires the need to conduct additional research and to accurately document all findings as deemed appropriate.

Primary 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

Team Work

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

Problem Solve

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

Accurately research insured status

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

Schedule: This is full-time hourly position. Employees have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am-4:00pm or 8:30am-5:00pm CST, Monday - Friday.  Hybrid schedule as needed for department coverage.

Essential to Your Success:

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

Education Requirements:

Minimum: High School or GED

Preferred: Other

LOMA Level I Certificate

LOMA ACS

Wisconsin Preneed Certification

Years of Experience:

One year claims processing experience or equivalent business experience.

Two years customer service or insurance/financial experience preferred.

NGL is committed to creating a diverse environment and is an Equal Opportunity Employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

NGL is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected].