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Claims Adjudication Specialist (Tier I)

2 months ago
United States
Full-time
Mid Level
Customer Support
Customer and Technical Support
Apply Now
Extend

Extend

Extend is a technology company that offers powerful product and shipping protection solutions to merchants, helping them generate revenue and enhance customer loyalty. Their modern and cost-effective services provide a win-win situation for both busine...

Air Freight & Logistics
251-1K
Founded 2019
View All Jobs 12

Description

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

Requirements

  • 3-5 years of experience in technical customer service, claims management/adjudication, insurance adjusting, or contact center work.
  • Experience with claims adjudication in a protection plan environment preferred.
  • Active adjuster license preferred.
  • Excellent verbal and written communication skills with the ability to explain complex claim decisions clearly and concisely.
  • Experience with claims management systems, contact center platforms, and Google Workspace.
  • Ability to navigate multiple software systems simultaneously.
  • Strong analytical skills and the ability to analyze complex issues and make decisions efficiently.
  • Comfort working in a fast-paced environment with frequent process and technology changes.
  • Ability to handle high claim volumes while maintaining accuracy and performance.

Benefits

  • Estimated salary range of $45,000-$55,000 per year.
  • Competitive salary based on experience.
  • Full medical, dental, and vision benefits.
  • Stock in an early-stage, fast-growing startup.
  • Generous, flexible paid time off policy.
  • 401(k) plan with financial guidance from Morgan Stanley.
  • Collaborative and supportive team environment.

Interested in this position?

Apply directly on the company website

Apply Now

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