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Medical Claims Adjuster III

Company: Guarantee Trust Life Insurance
Location: Glenview
Posted on: January 12, 2021

Job Description:

Guarantee Trust Life Insurance Company is a longstanding leader in life and accident & health (A&H) insurance, located in suburban Glenview, Illinois. In business since 1936, Guarantee Trust Life Insurance Company was founded on the two fundamental principles of quality products and excellence in customer service. Our success is achieved through the dedication and hard work of our employees.This is an exciting time to join GTL! We've seen eight consecutive best ever years and project continuous growth. Learn more about GTL by visiting www.gtlic.comWe are currently seeking an experienced Claims Adjuster. The Claims Adjuster III is responsible for timely and efficient examination, settlement or declination of higher risk and liability Level 2 & 3 products on contestable and incontestable health claims, through investigations, effective research, negotiation, and interaction with insurers, claimants, families, Case managers and providers, ensuring company resources are utilized in a cost effective manner in the processing of benefits.Responsibilities: * Conducts basic medical investigations* Meeting department quality and production standards.* Provides high quality service and communication to all customers* Conducts investigations and researches for possible fraud and potential subrogation* Examines, analyzes and evaluates claims for payment of benefits under* Verifying eligibility, type of coverage and data entry of opened claim.Job Requirements:Requirements: * 2-3 years prior accident and medical health claim adjusting experience. * Experience reading and referencing policy language for benefit administration. * Experience with adjusting group and accident products preferred. * Experience with investigating higher risk and liability accident claims.* Must have excellent judgment, written--and organizational skills * Needs strong attention to detail * Medical terminology and coding knowledge * Strong data entry skills * Ability to analyze risk * Ability to work within a production based environment* Strong communication skills to work with policyholders, customers and coworkers* Strong Microsoft Office skills - Word, Excel and Access GTL provides a competitive salary and an attractive benefits package Please learn more about Guarantee Trust Life by visiting our website: www.gtlic.comWe invite you to learn more about GTL's rich history at Stay connected with GTL News Via: Facebook: - Twitter: - LinkedIn: m/f/d/v

Keywords: Guarantee Trust Life Insurance, Glenview , Medical Claims Adjuster III, Other , Glenview, Illinois

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