Claims Adjudication Specialist
New
E
ExtendProduct protection
Remote, USFull-TimeMiddle
Salary45,000 - 55,000 USD per year
Apply NowOpens the employer's application page
Job Details
- Experience
- 3-5 years of technical customer service, claims management/adjudication, insurance adjusting, or contact center experience.
- Required Skills
- Google Workspace
Requirements
- Have 3-5 years of experience in technical customer service, claims management or adjudication, insurance adjusting, or contact center work.
- Bring claims adjudication experience, preferably in a protection plan environment.
- Active adjuster licenses are preferred.
- Have experience with claims management systems and contact center platforms.
- Be experienced with Google suite products.
- Be able to work effectively across multiple software systems simultaneously.
- Analyze complex issues, identify solutions, and make decisions efficiently.
- Communicate complex claim details and decision rationale clearly in customer communications and internal system notes.
- Adapt to frequent changes in processes and technology.
- Maintain performance and accuracy in a high-volume claims environment.
Responsibilities
- Serve as the escalation point of contact for outsourced partners, customer support teams, and service technician partners.
- Investigate and resolve complex claims in line with contract terms and internal policies.
- Troubleshoot claims-processing delays and work toward timely resolutions.
- Coordinate service technician dispatching and parts ordering when needed.
- Resolve escalated customer issues and clearly communicate outcomes within policy guidelines.
- Maintain detailed documentation of customer and partner interactions.
- Investigate suspected fraudulent claims and report findings as needed.
- Recommend process improvements and opportunities to automate routine tasks.
- Respond to claim inquiries by phone and email in line with established SLAs.
- Collaborate with Product and Engineering teams on unresolved claim issues.
View Full Description & ApplyYou'll be redirected to the employer's site
