Claims Adjuster jobs in United States
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battleface · 1 day ago

Claims Adjuster

battleface is building a humanity-focused travel insurance company to bring people and the world together. As a Claims Adjuster, you will investigate and resolve travel medical claims, ensuring adherence to underwriting, regulatory, and policy guidelines while providing support to travelers during challenging times.

Big DataEmbedded SoftwareInsuranceInsurTechMobile AppsPredictive AnalyticsTravel

Responsibilities

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

Qualification

Travel medical claims handlingState adjuster licensingCustomer communicationData analysisOrganizationResearchingLanguage skillsNegotiation

Required

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
Must hold (or be eligible to obtain) state adjuster licenses for adjudicating travel insurance claims
Adhere to state insurance regulations
Maintain continuing-education requirements tied to state licenses

Preferred

Startup or high-growth environment experience
Although English is our operating language we're always looking for language skills to support our global member base

Company

battleface

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battleface is a travel insurance company that provides embedded travel insurance products.

Funding

Current Stage
Growth Stage
Total Funding
$49M
Key Investors
Drive CapitalGreenlight Reinsurance
2024-03-21Series B· $35M
2020-12-08Series A· $12M
2019-07-02Seed· $2M

Leadership Team

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Sasha Gainullin
CEO
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A
Anthony Spiteri
CTO
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Company data provided by crunchbase