Claims Adjudicator

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Effectively adjudicate claims while adhering to established service goals.

• Follow prescribed processing procedures as documented.

• Ensure that appropriate forms are received in compliance with state regulations.

• Process claims for whole life, term life, universal life, interest-sensitive, acquisition preneed, final expense, preneed, trust, Texas preneed, annuity, contestable, and riders.

• Reconcile Texas preneed claims and verify related documentation.

• Accurately calculate cost basis for basic annuity claims.

• Follow up on claims in writing within mandated state timeframes.

• Provide telephone support for claims-related inquiries and written correspondence.

• Communicate effectively with policyholders, agents, funeral directors, beneficiaries, and other stakeholders.

• Reach out to customers to gather missing information.

• Prepare correspondence throughout the claims process.

• Conduct research and meticulously document findings.

• Investigate insured status using various databases.

• Update spreadsheets and maintain documentation accurately.

• Complete assigned projects, tasks, and milestones by specified deadlines.

• Engage in group decision-making and offer support to colleagues.

• Uphold team service standards and coverage.

• Address challenges, escalate issues when necessary, and propose further inquiries.

⛳️ Requirements

• Minimum educational requirement: High School diploma or GED.

• One year of claims processing experience or related business experience.

• Intermediate understanding of NGL and acquisition products and their procedures.

• Proficient oral and written communication skills.

• General knowledge of PC operations and office machinery.

• Typing proficiency of at least 45 words per minute and 5,500 alphanumeric keystrokes per hour.

• Basic skills in accounting.

• Ability to collaborate within a team-oriented environment.

• Highly organized and detail-oriented.

• Capability to efficiently search the Internet and other databases.

• Two years of customer service or experience in insurance/financial services is preferred.

• LOMA Level I Certificate is a plus.

• LOMA ACS designation is preferred.

• Wisconsin Preneed Certification is a plus.

🏝️ Benefits

• 20 days of Paid Time Off, increasing to 25 days after 5 years of service.

• 11 Paid Holidays (10 company-designated holidays plus 1 personal holiday of your choice).

• Comprehensive health care, dental, and vision plans.

• Annual contributions of up to $1,500 (for families) or $1,000 (for singles) towards a Health Savings Account.

• Annual bonus based on company performance.

• Paid Parental Leave.

• 401(k) matching up to 9%.

• Paid Sabbatical after 8 years of employment.

• Paid time for volunteering.

• Education Assistance Program.

• Employee Recognition Program.

• Access to Employee Resource Groups.

• Flexible work options (fully remote, hybrid, or onsite opportunities in certain states).

• Opportunities for both professional and personal development.

• Reasonable accommodations available for qualified individuals with disabilities.