Claims Adjuster

battleface • Columbus, OH

8d

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 our tech-enabled claims gateway, you’ll streamline workflows, cut down paperwork, and keep all parties informed, while ensuring adherence to underwriting, regulatory, and policy guidelines.

This role is about more than just claims, it’s about being a trusted partner for travelers when they need support most.

Requirements

• 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 sstate licenses

Nice To Haves

• 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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed