Senior Claims Specialist
National Guardian Life Insurance Company
full-time
Posted on:
Location Type: Hybrid
Location: Madison • Wisconsin • United States
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Job Level
About the role
- Represent the Claims department on projects and recommend improvements to enhance processes
- Communicate and correspond with policyholders, agents, funeral directors, beneficiaries, physicians, and employers
- Complete recurring audits and assist with written procedure maintenance
- Process escalated or complex claims for various product lines/states
- Provide guidance to team members and assist with training
- Participate and represent team in project meetings
- Research and provide information to project members
- Ensure work performed by others aligns with policies and guidelines
- Provide timely updates and issues to Team Lead or Manager
- Coordinate with the Claims Quality Assurance Analyst on Standard Operating Procedures
- Resolve complex claims and apply problem-solving methods
Requirements
- High School diploma or GED
- A minimum of two years of claims processing or other related business experience required
- A minimum of one year of experience reviewing and validating NGL claims required
- A minimum of six months of NGL claims processing including Texas claims experience required
- Advanced knowledge of NGL and acquisition products and procedures
- Knowledgeable of insurance policy administration systems
- Strong knowledge of claims compliance requirements
- Demonstrated ability to interpret insurance policy language
- Ability to run and edit policy administration software queries
- Ability to perform advanced searches in document workflow management software
- Demonstrated project management skills
- Excellent written and verbal communication skills
- Ability to draft professional written communication using correct grammar, punctuation, and spelling
- Strong attention to detail with a high level of accuracy
- Ability to guide and provide constructive feedback with respect and empathy
- Excellent computer skills including Microsoft Word, Outlook and Excel
- Ability to analyze and thorough problem-solving skills
- Knowledgeable of basic accounting skills
- Ability 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.
Benefits
- 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
- And much more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingNGL claims processinginsurance policy administrationdocument workflow management softwareproject managementadvanced searchespolicy administration software queriesbasic accounting skillsauditingproblem-solving
Soft Skills
communicationattention to detailteamworkorganizational skillsindependenceadaptabilityconstructive feedbacktime managementempathywriting skills
Certifications
High School diplomaGED