Top 23 Claims adjudicator Jobs

Claims Adjudicator
National Guardian Life Insurance Company —Madison, WI
- Full-time
- Hybrid work
- Writing skills
- Research
- Mid-level
- Paid parental leave
- Health savings account
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Claims Adjudicator
Advanced MSO —El Centro, CA
- $19 - $25 an hour
- Part-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Paid time off
Quick Apply
5d
Claims Adjudicator
BEST DOCTORS INSURANCE SERVICES LLC —Miami, FL
- Spanish
- Microsoft Excel
- English
Quick Apply
Senior Claims Adjudicator - State Program Administrator Senior
State of Minnesota - Employ & Econ Development Dept —Saint Paul, MN
- $28.75 - $42.16 an hour
- Online Application
- Hybrid work
- Background check
- Office
- Master's degree
- Paid parental leave
- Paid holidays
10d
Medical Claims Adjudicator II
UNITE HERE HEALTH —Oak Brook, IL
- $20.36 - $24.97 an hour
- Full-time
- Mid-level
- 3 years
- Experience equivalent to degree accepted
- Commuter assistance
- AD&D insurance
Quick Apply
Claims Adjudicator
National Healthcare Solutions, Inc. —Miami, FL
- Full-time
- Spanish
- Customer service
- Data analysis skills
Quick Apply
Claims Adjudicator
Independent Health —Buffalo, NY
- $18 an hour
- Full-time
- Research
- High school diploma or GED
- Organizational skills
- Paid time off
9d
Senior Claims Adjudicator
Odyssey Group —Stamford, CT
- Research
- Bachelor's degree
- Organizational skills
2d
UC Claims Adjudicator II
State of Vermont - Department of Labor —Montpelier, VT
- $26.50 - $41.37 an hour
- Online Application
- Mid-level
- Administrative experience
- High school diploma or GED
- Wellness program
- Paid holidays
3d
Adjudicator, Provider Medical Claims (Inbound Calls)
Molina Healthcare —Kentucky
- $15.58 - $31.97 an hour
- Full-time
- Data analysis skills
- Research
- Mid-level
- Health insurance
4d
UC Claims Adjudicator I
State of Vermont - Department of Labor —Montpelier, VT
- $23.75 - $36.88 an hour
- Online Application
- Mid-level
- Administrative experience
- High school diploma or GED
- Wellness program
- Paid holidays
3d
Claims Adjudicator Sr
Loma Linda University Health —Redlands, CA
- $26.03 - $32.51 an hour
- Full-time
- Microsoft Outlook
- Management
- 5 years
Risk Management Claims Adjudicator
State of Idaho —Boise, ID
- $33 - $35 an hour
- Full-time
- Background check
- Word processing
- Writing skills
- Paid holidays
- Health insurance
3d
Warranty Claims Adjudicator
Infosys —Peoria, IL
- Management
- Office
- Microsoft Office
Quick Apply
Accounts Payable Claims Adjudicator
Gulfside Healthcare Services, Inc. —Land O' Lakes, FL
- Background check
- Mid-level
- High school diploma or GED
Quick Apply
Adjudicator
The State of Oklahoma —Oklahoma County, OK
- $20.83 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
L&I Workers' Compensation Adjudicator 5
State of Washington Dept. of Labor & Industries —Washington State
- $69,348 - $93,288 a year
- Full-time
- Background check
- Writing skills
- Office
- Flexible schedule
11d
Disability Adjudicator III (FFTL)
Commonwealth of Kentucky —Frankfort, KY
- $3,840.90 - $5,761.44 a month
- Full-time
- Office
- 3 years
- Bachelor's degree
8d
Claims Adjudicator (Temporary-6 months)
National Guardian Life Insurance Company —Madison, WI
- Temporary
- Hybrid work
- Computer literacy
- Writing skills
- Research
Quick Apply

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Claims Adjudicator
National Guardian Life Insurance Company —Madison, WI
Provide phone support for all claims related calls and letter correspondence. Provide phone support for claims related calls while maintaining team service…
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Claims Adjudicator
Advanced MSO —El Centro, CA
Associate or Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field preferred.
$19 - $25 an hour
Quick Apply
5d

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Claims Adjudicator

National Guardian Life Insurance Company -
Madison, WI

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Job Details

Full-time

Benefits

Paid parental leave
Health savings account
Paid holidays
Dental insurance
Paid time off
Parental leave
Vision insurance
401(k) matching
Sabbatical

Qualifications

Computer operation
Writing skills
High school diploma or GED
Accounting
Typing

Full Job Description

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

Essential to Your Success:

Intermediate knowledge of NGL and acquisition products and procedures
-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.

What We Offer:

At NGL, we provide a comprehensive Total Rewards package that includes competitive base pay and benefits designed to offer solutions to help meet your unique life needs.

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!

Click here to learn more about our comprehensive Total Rewards program.

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].

Quick Apply

Refine Your Search

claims adjudicator jobs

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Senior Claims Adjudicator - State Program Administrator Senior

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Adjudicator, Provider Medical Claims (Inbound Calls)

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