Claims Adjudication Specialist
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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, ensuring accurate and timely resolutions while collaborating with customers and internal teams.
Key responsibilities
- Serve as the escalation contact for outsourced partners and customer support teams
- Investigate and resolve complex claim situations in alignment with contract terms and internal policies
- Maintain detailed documentation of all customer and partner interactions while troubleshooting claims processing delays
Required qualifications
- 3-5 years of experience in technical customer service, claims management/adjudication, or insurance adjusting
- Active adjuster licenses are preferred
- Proficiency with claims management systems and contact center platforms
- Ability to analyze complex issues and make efficient decisions
- Experience in a fast-paced environment with high claim volumes
Complete Job Description
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