Claims Adjudicator - Remote, WI-ONLY (Temporary-6 months)
Claims Adjudicator - Remote, WI-ONLY (Temporary-6 months)
Posted 2 days ago
SENIORITY
Senior
About the role
- 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 Customer Service
- 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
- Excellent written and verbal communication skillsAbility to draft professional written communication using correct grammar, punctuation, and spelling
- Strong attention to detail with a high level of accuracy
- Basic computer skills with the ability to perform tasks and work in Microsoft Word, Outlook and Excel
- Knowledge of basic accounting skillsAbility to work independently and in a team environment
- Ability to learn quickly and adeptly handle issues that arise even when unfamiliar
- Effective and efficient organizational skills and ability to manage competing demands and tight deadlines
- Typing skills of a minimum of 45 words per minute
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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