Claims Adjuster

battleface•Columbus, OH

14h

About The Position

Robin Assist is the global assistance and claims partner behind battleface and a range of insurers, brokers, and managing general agents in the travel insurance industry. It provides 24/7 claims handling, assistance coordination, and technology-driven solutions with a human-first approach. As a Claims Adjuster, you will help travelers through difficult situations by investigating and resolving travel medical claims with speed, empathy, and accuracy. You will use a technology-enabled claims gateway to streamline workflows, reduce paperwork, and keep relevant parties informed while adhering to underwriting, regulatory, and policy guidelines. The role focuses on being a trusted partner to travelers when they need support.

Requirements

Proven experience handling travel insurance claims, including complex domestic and international cases.
Current state adjuster licenses or the ability to obtain them.
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.
Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving, brainstorming, and researching.
Comfort working with data, forms, spreadsheets, and policy wordings.

Nice To Haves

Experience in a startup or high-growth environment.
Additional language skills to support a global member base.

Responsibilities

Investigate, evaluate, and resolve travel medical claims end-to-end.
Adjudicate benefits according to policy terms and statutory requirements.
Process invoices through cost-containment networks.
Provide customers, providers, and partners with clear, timely updates on claim status.
Document claims thoroughly in the claims system and ensure files are complete and high quality.
Assess the need for medical management and escalate appropriately.
Process bills in accordance with statutory requirements and internal controls.
Identify potential fraud, waste, or abuse and collaborate with the investigative team.
Provide excellent written and verbal customer communication throughout the claim lifecycle.
Perform additional responsibilities as needed to support the team and customers.
Set clear, relevant goals and consistently surpass them.
Prioritize work that advances outcomes for travelers and the business.
Build strong relationships with customers, providers, and partners to advance a humanity-focused travel insurance experience.