Life Claims Adjuster (Adjuster IV)
About The Position
Guarantee Trust Life Insurance Company (GTL) is currently seeking a Life Claims Adjuster (Adjuster IV) to join our team! Since 1936, GTL has offered cutting-edge insurance solutions and personalized service for our policyholders and distributors, while supporting personal growth and civic involvement from our employees. We’re seeking candidates who are looking for meaningful work, who want to invest in their growth, and contribute to a company built on timeless virtues and best business practices. This position is required to work on-site in our Glenview, IL office most days. Everyone receives 3 flexible remote days per month. And, we offer half-day Fridays – every Friday!
Requirements
- Prior Life claim adjusting experience is required.
- Experience reading and interpreting many different types of policy languages for benefit administration.
- Basic knowledge of software - Microsoft word, Excel a plus.
- Previous Health/Life insurance Customer Service experience.
- Basic ability to read and interpret medical records.
- Excellent verbal communication on calls and written communication for request and benefit letters.
- Ability to analyze risk and identify potential fraud flags.
- Able to work within a production-based environment and meet quantity requirements.
- Must have great attention to detail, good judgment, and strong organizational skills.
Nice To Haves
- Experience in Contestability, or Rescission investigations a plus.
Responsibilities
- Adjudicate claims and Return of Premium (ROP) claims based on variable contract provisions, benefits, and state guidelines.
- Understand policy contract language, insurance applications, state statutes, interpret medical records, determine appropriate beneficiaries, identify potential fraud, and correctly calculate the benefits due.
- Gather and review required documentation.
- Conduct medical history investigations.
- Conduct accident or homicide investigations.
- Accurate and timely processing of ROP claims.
- Establish eligibility and large dollar benefits.
- Accurate and timely processing of claim payments.
- Meet department quality and production standards.
- Correspond with beneficiaries, customers, and co-workers clearly, accurately, and professionally.
- Customer phone interaction with beneficiaries, family members, and funeral homes is necessary.
- Provide assistance with ad hoc projects and operational initiatives as needed.
Benefits
- 3 flexible remote days per month
- Half-day Fridays
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
