Claims Adjudicator

National Guardian Life Insurance Company

. Accurately adjudicate claims within stated service goals .

Posted 9/29/2026full-timeRemote • Wisconsin • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims processing, including the ability to accurately adjudicate various types of claims while adhering to state regulations and service goals. Proficient in communication with policyholders and stakeholders, ensuring thorough documentation and follow-up throughout the claims process.

Highest-signal resume keywords

Claims Processing ExperienceIntermediate Knowledge of NGL ProductsLOMA Level I CertificateTyping Skills of 45 Words Per MinuteCustomer Service Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationCost Basis CalculationBasic Accounting SkillsDatabase ResearchDocumentation Management

Soft Skills

Oral Communication SkillsWritten Communication SkillsOrganizational SkillsDetail OrientedTeam Collaboration

Tools & Technologies

PC KnowledgeOffice Machine KnowledgeSpreadsheets

Certifications & Qualifications

LOMA Level I CertificateLOMA ACSWisconsin Preneed Certification

Industry Keywords

Whole Life ClaimsTerm Life ClaimsUniversal Life ClaimsAnnuity ClaimsPreneed Claims

About the role

Key responsibilities & impact

Accurately adjudicate claims within stated service goals
Follow established written processing procedures
Verify proper forms are received according to state regulation
Process whole life, term life, universal life, interest-sensitive, acquisition preneed, final expense, preneed, trust, Texas preneed, annuity, contestable, and rider claims
Reconcile Texas preneed claims and verify file documentation
Accurately calculate cost basis on basic annuity claims
Follow up on claims in writing within state-regulated time frames
Provide phone support for claims-related calls and letter correspondence
Communicate with policyholders, agents, funeral directors, beneficiaries, and other customers
Contact customers to obtain missing information
Prepare correspondence throughout the claim process
Conduct research and accurately document findings
Research insured status using databases
Update spreadsheets and documentation
Complete assigned projects, tasks, and milestones by agreed deadlines
Participate in group decision-making and support teammates
Maintain team service coverage and standards
Resolve difficulties, escalate issues, and suggest additional inquiry

Requirements

What you’ll need

Minimum: High School or GED
One year claims processing experience or equivalent business experience
Intermediate knowledge of NGL and acquisition products and procedures
Intermediate oral and written communication skills
General PC and office machine knowledge
Typing skills of at least 45 words per minute and 5,500 alphanumeric keystrokes per hour
Basic accounting skills
Ability to work in a team environment
Organized and detail oriented
Ability to quickly search the Internet and other databases
Two years customer service or insurance/financial experience preferred
LOMA Level I Certificate preferred
LOMA ACS preferred
Wisconsin Preneed Certification preferred

Benefits

Comp & perks

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
Employee Resource Groups
Flexible work environment (fully remote, hybrid or onsite options in certain states)
Professional and personal development opportunities
Reasonable accommodations for qualified individuals with disabilities