Medical Claims Adjuster III

Company Overview 

At Guarantee Trust Life Insurance Company (GTL), employees join a company with nearly 90 years of stability, purpose, and forward momentum. Founded in 1936 and headquartered in Glenview, Illinois, GTL blends timeless values—integrity, quality products, and personal service—with innovative life and health insurance solutions that help policyholders and distributors across the country.  

Where You’ll Work 

This position is required to work on-site in our Glenview, IL office most days. Everyone receives 3 flexible remote days per month. And, we offer half-day Fridays – every Friday! 

Role Overview

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

• 3-5 years of medical health claim adjusting experience, preferably prior experience with Short-Term Home Health Care, Long Term Care, and/or Cancer/Heart Attack/Stroke claims.
• Experience reading and referencing policy language for benefit administration.
• Experience investigating and adjusting contestable claims.
• Strong experience composing clear, professional correspondence and letters to customers, physicians, and healthcare providers related to coverage determinations, claim payments, denial notifications, appeals, and documentation requests.
• Experience handling difficult phone calls from insureds, family members, and healthcare providers. This position does require you to take inbound calls and make outbound calls.
• Strong attention to detail and good judgement.
• Ability to work within a production environment. Ability to maintain proper Quantity and Quality metrics while working within this production environment.
• Strong verbal and written communication skills.

Compensation & Benefits 

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

• Medical 
• Health Savings Account (including employer contribution) 
• Dental 
• Vision 
• Dependent Care FSA 
• 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, sick time and Summer / Flex Fridays 
• 401(k), 401(k) Match and Profit-Sharing Retirement Plan 

The pay range for this role is$28-$35 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.

Stay Connected with GTL 

We invite you to learn more about Guarantee Trust Life by visiting:  

Website 

LinkedIn 

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