Claims Adjudication Specialist

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $45k - $55k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Extend

WebsiteLinkedInAll Job Openings

201 - 500 employees

🛡️ Insurance

📦 Logistics

🛍️ eCommerce

Insurance • Logistics • eCommerce

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 for outsourced partners, customer support teams, and service technician partners • Investigate and resolve complex claims in accordance with contract terms and internal policies • Troubleshoot claims-processing delays and ensure timely resolutions • Coordinate service technician dispatching and parts ordering when necessary • Resolve escalated customer issues and communicate outcomes clearly • Maintain detailed documentation of customer and partner interactions • Investigate suspected fraudulent claims and report findings • Recommend process improvements and automation opportunities • Respond to claim inquiries by phone and email within established SLAs • Collaborate with Product and Engineering teams on unresolved claim issues • Stay current on product offerings, service workflows, and policy updates • Identify and communicate training needs for frontline support teams • Keep internal systems updated with 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 experience in a protection plan environment preferred • Excellent verbal and written communication skills • Ability to convey complex claim details and supporting rationale clearly and concisely • Flexibility and resilience in a fast-paced, frequently changing environment • Experience with claims management systems, contact center platforms, and Google Suites products • Ability to navigate and work effectively across multiple software systems simultaneously • Ability to analyze complex issues, identify solutions, and make efficient decisions • Ability to maintain performance and accuracy in high-volume claims environments • Active adjuster licenses preferred • No immigration-related sponsorship provided

🏖️ Benefits

• Competitive salary based on experience • Full medical benefits • Dental and vision benefits • Stock in an early-stage startup growing quickly • Generous, flexible paid time off policy • 401(k) with Financial Guidance from Morgan Stanley • Collaborative and supportive environment • Diverse team environment

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