Claims Adjudicator - Remote, WI-; Temporary

We are adding a Claims Adjudicator to our team!

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.

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.

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.

• Adjudicate Claims
  • Accurately adjudicate a minimum of 25 claims per day within stated service goals.
  • Follow established written processing procedures.
  • Verify proper forms are received according to state regulation.
  • Accurately enter and process variety of life insurance, trust and annuity claims.
  • Accurately calculate cost basis on basic annuity claims
  • Follow-up timely on all claims in writing within state regulated time frames
• Customer Service
  • 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.
• Collaboration and Teamwork
  • Effectively and actively collaborate with others and work towards shared goals.
  • 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 ensure sufficient team coverage.
  • Help ensure that team standards and goals are maintained.
• Claims Resolution
  • Evaluate and resolve basic to moderately complex claims-related issues.
  • 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 elevate issues with…