Claims Adjudicator II — Medical Claims (Hybrid)

Guarantee Trust Life Insurance Company; Omaha (NE); On-site; USD 36,000 - 40,000; Full time

Benefits offered by this job

Medical

Health Savings Account

Dental

Vision

401(k) Plan

Job summary

Guarantee Trust Life Insurance Company (GTL) seeks a claims adjudicator in the Omaha area. The role focuses on evaluating medical health claims against policy language and state regulations, with emphasis on accuracy and timely decisions.

The candidate will interpret forms, medical terminology, and documentation to determine benefit eligibility, while collaborating with teams to ensure compliant decisions and quality service.

Qualifications

• 2-3 years of medical health claim adjusting experience.
• Experience reading and referencing policy language for benefit administration.
• Excellent verbal and written communication skills.
• Strong data entry and organizational abilities.

Responsibilities

• Adjudicate claims based on contract provisions and benefits according to state guidelines.
• Understand policy language, applications, and medical terms to assess eligibility.

Skills

Medical claim adjusting

Policy interpretation

Data entry

Verbal & written communication

Tools

Microsoft Office

Job description

Guarantee Trust Life Insurance Company (GTL) seeks a claims adjudicator in the Omaha area. The role focuses on evaluating medical health claims against policy language and state regulations, with emphasis on accuracy and timely decisions.

The candidate will interpret forms, medical terminology, and documentation to determine benefit eligibility, while collaborating with teams to ensure compliant decisions and quality service.