Claims Adjudication Specialist

Extend

. Serve as the escalation point of contact for outsourced partners, customer support teams, and service technician partners .

Posted 10/21/2026full-timeRemote • United StatesMid-LevelSenior💰 $45,000 - $55,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims management and adjudication, with a strong focus on customer service and effective communication. Proficient in analyzing complex issues and implementing process improvements within high-volume environments.

Highest-signal resume keywords

Claims ManagementClaims AdjudicationTechnical Customer ServiceExcellent Communication SkillsActive Adjuster License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingIssue ResolutionFraud InvestigationProcess ImprovementDocumentation Maintenance

Soft Skills

Problem SolvingCollaborationDecision MakingTraining Identification

Tools & Technologies

Claims Management SystemsContact Center PlatformsGoogle Suite

Certifications & Qualifications

Active Adjuster License

Industry Keywords

Insurance AdjustingProtection PlanCustomer SupportService Workflows

About the role

Key responsibilities & impact

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 front-line support teams
Keep internal systems updated with technical issues, customer feedback, and insights

Requirements

What you’ll need

3-5 years of technical customer service, claims management/adjudication, insurance adjusting, or contact center experience
Claims adjudication preferably in a protection plan environment
Excellent verbal and written communication skills
Experience with claims management systems, contact center platforms, and Google suites of products
Ability to navigate and work effectively across various software systems simultaneously
Ability to analyze complex issues, identify solutions, and make decisions efficiently
Ability to perform accurately in high-claim-volume environments during rapid company growth
Active adjuster licenses preferred
Extend does not provide immigration-related sponsorship for this role

Benefits

Comp & perks

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