Claims Adjuster

battleface•Columbus, OH

21h

About The Position

Join Robin Assist as a Claims Adjuster and help travelers through some of their toughest days. You’ll investigate and resolve travel medical claims with speed, empathy, and accuracy. Using a tech-enabled claims gateway, you’ll streamline workflows, reduce paperwork, and keep all parties informed while adhering to underwriting, regulatory, and policy guidelines. The role is about being a trusted partner for travelers when they need support most.

Requirements

Proven experience handling travel insurance claims, including complex domestic and international cases.
Current state adjuster licensing or ability to obtain it.
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.
Belief that claims processing should enhance, not hinder, the customer experience.

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 clear, timely claim-status updates to customers, providers, and partners.
Document claims 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, or abuse and collaborate with the investigative team.
Deliver 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.