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Financial services claims adjuster

Work from home Full-time role Hiring

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Financial Services Claims Adjuster in United States. This role offers an exciting opportunity to support customers through the insurance claims process while delivering exceptional service in a fast-paced, customer-focused environment. As a Financial Services Claims Adjuster, you will investigate, evaluate, and resolve claims while serving as a trusted advocate for policyholders. You’ll collaborate with internal teams and external stakeholders to ensure fair and accurate claim outcomes while maintaining compliance with policy guidelines and regulations. The position combines analytical problem-solving, communication, and customer care, making it ideal for professionals who thrive in dynamic service-driven roles. This is a remote opportunity within the United States, with a hybrid work model available for candidates located near Miami, Florida. The role also provides strong career development opportunities, comprehensive benefits, and a supportive workplace culture focused on innovation and growth. Accountabilities:

  • Review, investigate, and process insurance claims while ensuring compliance with company policies, legal regulations, and service standards.
  • Educate customers on insurance benefit programs, claims procedures, and settlement outcomes with professionalism and empathy.
  • Analyze claim documentation for accuracy, completeness, and eligibility, escalating complex or questionable claims when necessary.
  • Make claim approval or denial decisions within assigned authority levels and document all activities thoroughly in internal systems.
  • Maintain high standards for customer satisfaction, operational efficiency, and quality assurance across multiple product lines.
  • Collaborate with internal departments, management, and external stakeholders to resolve issues and improve the customer experience.
  • Stay informed on industry updates, policy changes, and evolving claims procedures to ensure accurate and effective claims handling.

Requirements:

  • Minimum of 2 years of experience as a Claims Adjuster or in a related insurance claims role.
  • Active All-Lines (Independent/Company) insurance license with continuing education requirements up to date.
  • High school diploma or GED required.
  • Strong analytical, negotiation, and problem-solving abilities with excellent attention to detail.
  • Exceptional verbal and written communication skills, including the ability to draft professional customer correspondence.
  • Ability to manage multiple priorities independently in a fast-paced, deadline-driven environment.
  • Strong organizational skills and adaptability with a customer-first mindset.
  • Proven ability to work effectively with minimal supervision while maintaining quality and productivity standards.
  • Candidates located within commuting distance of Miami, FL should be comfortable with a hybrid work arrangement.

Benefits:

  • Competitive compensation ranging from $19.08 to $30.53 per hour based on experience and location.
  • Medical benefits available starting on day one.
  • Comprehensive paid time off package, including holidays.
  • Tuition reimbursement program available after six months, up to $5,000 annually.
  • Career growth and professional development opportunities.
  • Flexible remote work environment with hybrid options for eligible locations.
  • Supportive and collaborative workplace culture focused on innovation and employee success.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1

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