Claims Adjuster
Posted 1 hour ago
You'll apply on the company's website.
About the Role
The team is looking for a committed remote Claims Adjuster to support travel insurance services for modern adventurers. The organization emphasizes a digital-first, service-oriented model, providing around-the-clock travel assistance and flexible coverage for individuals and groups. You will play a vital role as the main point of contact for policyholders, managing the full lifecycle of travel medical claims within a global, fast-paced environment. This position demands a blend of technical accuracy and an empathetic approach while maintaining professional relationships and navigating international challenges.
Requirements
- You must have demonstrated experience managing travel insurance claims, including intricate domestic and global cases.
- You are required to hold or be eligible to acquire the mandatory state adjuster licenses and remain compliant with continuing education standards.
- You should possess strong negotiation, communication, organizational, and data collection skills.
- You must be proficient in managing spreadsheets, forms, and policy texts while following all applicable state insurance laws.
- Experience in a high-growth or startup setting is preferred but not required.
- You must be fluent in English and are encouraged to have additional language proficiency to better assist a global membership base.
Responsibilities
- You will manage the entire lifecycle of travel medical claims by investigating, assessing, and finalizing them.
- You will adjudicate benefits in alignment with policy language and legal standards, as well as handle invoices using cost-containment networks.
- You will communicate clearly with partners, customers, and providers to provide claim status updates while ensuring all system documentation is accurate and exhaustive.
- You will evaluate the need for medical management, escalate cases as needed, and work with the investigative department to flag potential abuse, waste, or fraud.
- You will provide high-quality verbal and written support, focusing on tasks that yield the best results for the organization and our travelers.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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