Claims Adjudicator - Remote, WI-ONLY (Temporary-6 months)

• 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

• 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 escalate issues with suggestions for additional inquiry.

Research and Documentation

• Accurately research insured status.
• Follow established written processing procedures.
• Search databases to confirm Insured status.
• Update spreadsheets and document appropriately

Additional Duties

• Complete assigned projects, tasks, and/or milestones by agreed upon due dates including performing other related work as requested or required.

• Minimum: High School or GED

• Preferred: Other
• LOMA Level I Certificate

• LOMA ACS

• Wisconsin Preneed Certification

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• 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 . Originally posted on Himalayas