Claims Adjudicator

. Accurately adjudicate claims within stated service goals .

Posted 9/25/2026full-timeRemote • Wisconsin • United StatesJuniorWebsite

Key responsibilities & impact

Accurately adjudicate claims within stated service goals
Follow established written processing procedures
Verify proper forms are received according to state regulation
Enter and process whole life, term life, universal life, interest-sensitive, acquisition preneed, final expense, preneed, trust, Texas preneed, annuity, contestable, and rider claims
Accurately 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 empathetically with policyholders, agents, funeral directors, beneficiaries, and other customers verbally, in writing, and by email
Contact agents, funeral homes, beneficiaries, and other customers to obtain missing information
Prepare correspondence for all steps in the claim process and customer inquiries
Research insured status and search databases to confirm status
Update spreadsheets and document findings appropriately
Participate in group decision-making and support teammates
Manage personal time off, breaks, and lunches to ensure team coverage
Help maintain team standards and goals
Investigate ambiguous issues, identify root causes, suggest alternatives, resolve difficulties, and escalate issues with recommendations
Complete assigned projects, tasks, and milestones by agreed-upon due dates
Perform other related work as requested or required

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
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
Preferred: two years customer service or insurance/financial experience
Preferred: LOMA Level I Certificate
Preferred: LOMA ACS
Preferred: Wisconsin Preneed Certification

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
Professional and personal development opportunities
Flexible work environment with fully remote, hybrid, or onsite options where available
Comprehensive Total Rewards package
Reasonable accommodations for qualified individuals with disabilities