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Claims Adjuster
battlefaceClaims Adjuster for Robin Assist investigating and resolving travel medical claims. Ensuring adherence to policy guidelines while providing support to travelers during challenging times.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims AdjudicationCost-Containment ProcessingMedical Management AssessmentInvoice ProcessingData GatheringReportingPolicy Terms EvaluationStatutory ComplianceClaims System DocumentationFraud/Waste/Abuse Identification
Soft Skills
Written CommunicationVerbal CommunicationNegotiationOrganizationResearching
Certifications
State Adjuster License