Claims Adjuster

battleface

Claims Adjuster for Robin Assist investigating and resolving travel medical claims. Ensuring adherence to policy guidelines while providing support to travelers during challenging times.

Posted 7/2/2026full-timeRemote • Wisconsin • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in travel medical claims processing, including adjudication, fraud detection, and customer communication. Proficient in managing complex claims while ensuring compliance with statutory requirements and maintaining high-quality documentation.

Highest-signal resume keywords

Travel Medical Claims HandlingState Adjuster LicensingCustomer CommunicationFraud DetectionData Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationCost-Containment ProcessingMedical Management AssessmentInvoice ProcessingData GatheringReportingPolicy Terms EvaluationStatutory ComplianceClaims System DocumentationFraud/Waste/Abuse Identification

Soft Skills

Written CommunicationVerbal CommunicationNegotiationOrganizationResearching

Tools & Technologies

Claims SystemSpreadsheetsForms

Certifications & Qualifications

State Adjuster License

Industry Keywords

Accident ClaimsSickness ClaimsTravel Medical ClaimsDomestic CasesInternational Cases

About the role

Key responsibilities & impact

Investigate, evaluate, and resolve travel medical claims end-to-end
Adjudicate benefits per policy terms and statutory requirements
Process invoices through cost-containment networks
Maintain clear, timely updates to customers, providers, and partners on claim status
Document thoroughly in the claims system and ensure complete, high-quality files
Assess the need for medical management and escalate appropriately
Process bills in accordance with statutory requirements and internal controls
Identify potential fraud/waste/abuse and collaborate with investigative team
Deliver excellent written and verbal customer communication throughout the claim lifecycle
Perform additional responsibilities as needed to support the team and our customers

Requirements

What you’ll need

Proven experience handling accident and sickness/travel medical claims, including complex domestic and international cases
Current (or ability to obtain) state adjuster licensing
A belief that claims processing should enhance, not hinder, the customer experience
Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving, brainstorming, and researching
Comfort working with data, forms, spreadsheets, and policy wordings

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off
Remote work options