Claims Adjuster

battleface

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

Posted 11/8/2026full-timeRemote • Ohio • United StatesMid-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 state regulations, and maintaining high-quality documentation. Strong communication and organizational skills are essential for effective customer interaction and collaboration with partners.

Highest-signal resume keywords

Travel Insurance Claims HandlingState Adjuster LicensingData Analysis 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 AssessmentInvoice ProcessingData GatheringPolicy Wordings FamiliarityStatutory ComplianceFraud/Waste/Abuse IdentificationDocumentation ManagementGoal Setting and Achievement

Soft Skills

Written CommunicationVerbal CommunicationNegotiationOrganizationRelationship Building

Tools & Technologies

Claims SystemSpreadsheetsForms Processing

Certifications & Qualifications

State Adjuster License

Industry Keywords

Travel Medical ClaimsInsurance RegulationsContinuing Education RequirementsHigh-Growth Environment ExperienceAdditional Language Skills

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 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 moves the needle for travelers and the business
Build strong relationships with customers, providers, and partners

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
Additional language skills are a bonus