Hybrid Life Claims Specialist — Flexible Remote Days

Guarantee Trust Life Insurance Group; Glenview (IL); On-site; USD 45,000 - 52,000; Full time

Benefits offered by this job

Medical

Health Savings Account (including)

Dental

Vision

Dependent Care FSA

Basic Life Insurance (full premium)

Voluntary Employee, Spouse and Child -

Short-Term and Long-Term Disability

Paid Holidays

Paid time off including vacation, etc.

401(k), 401(k) Match and Profit-Shar-

Job summary

Guarantee Trust Life Insurance Company is seeking a Life Claims Adjuster (Adjuster IV) to adjudicate claims and Return of Premium (ROP) claims. The role requires interpreting diverse policy language, reviewing medical records, and determining beneficiaries with careful attention to state guidelines.

The position is on-site in Glenview, IL with three flexible remote days per month and half-day Fridays. Prior life claim adjusting experience and strong communication are essential for success in a

Qualifications

• Prior life claim adjusting experience is required.
• Experience reading and interpreting policy language for benefits administration.
• Experience in contestability or rescission investigations is a plus.
• Excellent verbal communication on calls and written communication for requests and benefit letters.
• Ability to analyze risk and identify potential fraud flags.
• Able to work in a production-based environment and meet quantity requirements.

Responsibilities

• Gather and review required documentation
• Conducts medical history investigations
• Conducting accident or homicide investigations
• Accurate and timely processing of ROP claims
• Establishes eligibility and large dollar benefits
• Accurate and timely processing of claim payments
• Meet department quality and production standards
• Corresponds with beneficiaries, customers, and co-workers clearly 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

Skills

Life claims adjusting

Policy interpretation

Fraud awareness

Communication skills

Risk analysis

Detail oriented

Tools

Microsoft Word

Excel

Job description

Guarantee Trust Life Insurance Company is seeking a Life Claims Adjuster (Adjuster IV) to adjudicate claims and Return of Premium (ROP) claims. The role requires interpreting diverse policy language, reviewing medical records, and determining beneficiaries with careful attention to state guidelines.

The position is on-site in Glenview, IL with three flexible remote days per month and half-day Fridays. Prior life claim adjusting experience and strong communication are essential for success in a