Claims Adjudication Specialist – Tier I

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $45k - $55k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Extend

WebsiteLinkedInAll Job Openings

201 - 500 employees

🛍️ eCommerce

🔌 API

🤝 B2B

eCommerce • API • B2B

Extend is a company that helps merchants generate revenue and protect their customers through modern product and shipping protection solutions. They offer protection plans from product failure and accidental damage to shipping issues like porch pirates and damaged deliveries. Extend provides a platform that is easy to integrate with eCommerce platforms like Shopify and BigCommerce. This enables merchants to easily offer protection plans and manage claims, with most being resolved in 90 seconds or less. The company focuses on improving profit margins and enhancing the customer experience by offering easy claim filing and turning customers into long-term advocates.

📋 Description

• Serve as the escalation point of contact from outsourced partners, customer support teams and service technician partners. • Investigate and resolve complex claim situations, ensuring decisions align with contract terms and internal policies. • Troubleshoot delays in claims processing, ensuring timely resolutions and enhanced customer satisfaction. • Coordinate service technician dispatching and parts ordering when necessary to support claim resolution. • Resolve escalated customer issues by proposing fair resolutions within policy guidelines and clearly communicating outcomes to the customer. • Maintain detailed and organized documentation of all customer and partner interactions. • Investigate suspected fraudulent claims and report findings as needed. • Recommend process improvements and opportunities to automate routine tasks. • Provide timely responses to claim inquiries via phone and email, in line with established SLAs. • Collaborate with Product and Engineering teams to troubleshoot and escalate unresolved claim issues. • Stay up to date on product offerings, service workflows, and policy updates to better support customers. • Identify and communicate training needs for front-line support teams to improve service quality. • Keep internal systems current with relevant technical issues, customer feedback, and insights.

🎯 Requirements

• 3-5 years of technical customer service, claims management/adjudication, insurance adjusting, or contact center experience. Claims adjudication preferably in a protection plan environment. • Active adjuster licenses (preferred). • Excellent communication skills, both verbal and written with the ability to convey complex claim details and supporting rationale for decisioning in a clear and concise way both to customers and internal system notations. • Embraces frequent change in processes and technology within a fast-paced environment, demonstrating flexibility and resilience in managing evolving challenges. • Experienced with claims management systems, contact center platforms, and Google suites of products. • Proven ability to navigate and work effectively across various software systems simultaneously. • Ability to analyze complex issues, identify solutions, and make decisions efficiently. • Thrive in environments of high claim volumes with exponential company growth while maintaining excellent performance and accuracy.

🏖️ Benefits

• Competitive salary based on experience, with full medical and dental & vision benefits. • Stock in an early-stage startup growing quickly. • Generous, flexible paid time off policy. • 401(k) with Financial Guidance from Morgan Stanley.