Claims Adjudication Specialist

Job Summary

As a critical member of the Operations Department, the remote Claims Adjudication Specialist will evaluate and service claims related to Product and Shipping Protection plans, managing complex claim submissions and collaborating with internal teams to ensure timely and accurate resolutions.

Key responsibilities

• Serve as the escalation point of contact for outsourced partners and customer support teams
• Investigate and resolve complex claims, ensuring alignment with contract terms and internal policies
• Maintain organized documentation of all interactions and troubleshoot delays in claims processing

Required qualifications

• 3-5 years of experience in technical customer service, claims management/adjudication, or insurance adjusting
• Active adjuster licenses are preferred
• Experience with claims management systems and contact center platforms
• Proven ability to analyze complex issues and make efficient decisions
• Ability to thrive in fast-paced environments with high claim volumes