Claims Adjuster

battleface

. Investigate, evaluate, and resolve travel medical claims end-to-end .

Posted 11/10/2026full-timeRemote • PhilippinesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in adjudicating travel insurance claims, ensuring compliance with statutory requirements and maintaining high-quality documentation. Strong communication and relationship-building skills are essential for delivering exceptional customer service throughout the claims process.

Highest-signal resume keywords

Travel Insurance Claims HandlingState Adjuster LicensingData Gathering and ReportingCustomer CommunicationFraud Detection and Investigation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationCost-Containment ProcessingMedical Management AssessmentStatutory ComplianceData AnalysisInvoice ProcessingDocumentation ManagementPolicy Terms EvaluationFraud/Waste/Abuse IdentificationGoal Setting

Soft Skills

Written CommunicationVerbal CommunicationNegotiationOrganizationRelationship Building

Tools & Technologies

Claims SystemSpreadsheetsForms Management

Certifications & Qualifications

State Adjuster License

Industry Keywords

Travel InsuranceInsurance RegulationsContinuing EducationHigh-Growth Environment

About the role

Key responsibilities & impact

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 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

Requirements

What you’ll need

Proven experience handling travel insurance claims, including complex domestic and international cases
Current (or ability to obtain) state adjuster licensing
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 state licenses
Startup or high-growth environment experience is a bonus
English is the operating language; additional language skills are sought to support the global member base