Medical Claims Adjuster II

Medical Claims Adjuster II

Elkhorn, NE 68022

Overview

Position Type Full Time

Job Description

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!

Summary of Responsibilities:

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.

Qualifications

What you should bring to the table:

• 2-3 years of medical health claim adjusting experience, preferably hospital indemnity claims

• Experience reading and referencing policy language for benefit administration

• Experience in preexisting or investigations a plus

• Basic knowledge of Microsoft Office Word and Excel

• Strong data entry skills

• Excellent verbal and written communication

• Ability to analyze risk

• Must have good judgment and strong prioritizing and organizational skills

• Pay range for this role is $24-29 per hour, commensurate with experience

The pay range provided is not a guarantee of compensation. The range reflects potential pay for the job grade for this role at the time of this posting. Compensation will depend on several factors such as specific competencies, relevant education and experience, qualifications, and industry certifications. Compensation ranges are subject to change and may be higher or lower than the range described above.

Provided eligibility requirements are met employees will be eligible for the following 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

• The amount of time off varies based on tenure and hours worked

• 401(k) and Profit-Sharing retirement plan

• The company matches contributions up to 2% provided the employee contributes a minimum of 3%

• The company may make a discretionary contribution to the Profit-Sharing plan

EOE m/f/d/v

Guarantee Trust Life Insurance Company