Medical Claims Adjuster II

GUARANTEE TRUST LIFE INSURANCE GROUP • Elkhorn, NE

1d • Hybrid

About The Position

Guarantee Trust Life Insurance Company (GTL) is currently seeking a Medical Claims Adjuster II 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 Omaha-area (Elkhorn, NE) office most days. Everyone receives 3 flexible remote days per month and 6 additional Friday PTO days each year! And, we offer half-day Fridays – every Friday! The primary responsibilities are to adjudicate claims based on variable contract provisions and benefits according to state guidelines. The person in this position must understand policy contract language, insurance applications, medical terminology, and medical aspects.

Requirements

• 2-3 years of medical health claim adjusting experience, preferably hospital indemnity claims
• Experience reading and referencing policy language for benefit administration
• Basic knowledge of Microsoft Office Word and Excel
• Strong data entry skills
• Excellent verbal and written communication
• Ability to analyze risk
• Good judgment and strong prioritizing and organizational skills

Nice To Haves

• Experience in preexisting or investigations a plus

Responsibilities

• Adjudicate claims based on variable contract provisions and benefits according to state guidelines.
• Understand policy contract language, insurance applications, medical terminology, and medical aspects.

Benefits

• Medical Health Savings Account (including employer contribution)
• Dental
• Vision
• Basic Life Insurance (full premium paid by employer)
• Voluntary Employee, Spouse and Child Life Insurance
• Short-Term and Long-Term Disability
• Paid Holidays
• Paid time off including vacation, personal days, and sick time
• 401(k) and Profit-Sharing retirement plan
• Flexible remote days
• Friday PTO days
• Half-day Fridays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 101-250 employees