Claims Adjudicator; Remote - WI

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.

• 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…