Claims Adjuster

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Investigate, assess, and resolve travel medical claims from start to finish

• Adjudicate benefits in accordance with policy terms and legal requirements

• Process invoices via cost-containment networks

• Provide clear and timely updates to customers, providers, and partners regarding claim status

• Maintain comprehensive documentation in the claims system to ensure complete, high-quality files

• Evaluate the necessity for medical management and escalate as needed

• Process bills in compliance with legal requirements and internal controls

• Identify potential instances of fraud, waste, or abuse and collaborate with the investigative team

• Deliver exceptional written and verbal communication to customers throughout the claims process

• Undertake additional responsibilities as required to support the team and customers

• Establish clear, relevant objectives and consistently exceed them

• Prioritize tasks that significantly benefit travelers and the business

• Cultivate strong relationships with customers, providers, and partners

⛳️ Requirements

• Demonstrated experience in managing travel insurance claims, including complex domestic and international cases

• Current (or the ability to acquire) state adjuster licensing

• Strong skills in writing, negotiation, communication, organization, reporting, data collection, reserving, brainstorming, and research

• Comfortable working with data, forms, spreadsheets, and policy documentation

• Must possess (or be eligible to obtain) state adjuster licenses for adjudicating travel insurance claims

• Comply with state insurance regulations

• Meet continuing education requirements related to state licenses

• Experience in a startup or high-growth environment is advantageous

• Proficiency in additional languages is a plus

🏝️ Benefits

• Competitive salary and performance-based incentives

• Opportunities for professional development and advancement

• Comprehensive health and wellness benefits

• Flexible work arrangements and a supportive team environment