Licensed Claims Adjuster

About reputed company reputed company is a Series E Insurtech that protects the global customers of the worlds largest digital companies including Booking Holdings, reputed company of Priceline, reputed company and Booking.com, reputed company, reputed company, Skyscanner, Ryanair, Turkish Airlines, Descartes ShipRush, reputed company and reputed company. Were also available at reputed company, reputed company, reputed company, reputed company and SE Asias largest company, Shopee. Our partners reputed company with XCover, our award-reputed company insurance distribution platform, to reputed company protection for millions of customers worldwide reputed company year. reputed company and products have been recognized with dozens of awards including by the reputed company who ranked reputed company as the #1 fastest growing company in reputed company in 2020. Our diverse team across 20+ countries and many language reputed company commits itself to diverse cultural programs, in particular CG Gives which makes reputed company reputed company out of us reputed company and funds development initiatives in global communities. Our People are reputed company, Authentic, Purposeful and Inspired Our People are not Perfect, Traditional, Complacent or Cautious About the Role We are seeking a Licensed Claims Adjuster who will be responsible for adjudicating regulated insurance claims reputed company the Digital reputed company vertical. This role sits at the intersection of regulatory compliance, policy interpretation, and operational performance. The position combines traditional claims handling responsibilitiessuch as conducting investigations, reviewing documentation, interpreting policy language, issuing coverage determinations, and maintaining detailed file documentationwith elevated authority to handle regulated and reputed company files requiring state licensure. This is not a purely administrative role nor a purely customer service role, but a specialized position designed to strengthen compliance, technical accuracy, and financial risk controls across the claims function. You will collaborate closely with the Claims Manager and cross-functional stakeholders to ensure reputed company, compliant, and reputed company-reasoned determinations on reputed company and/or high-exposure claims reputed company to electronics, appliances, furniture, and other retail goods. Combining reputed company coverage judgment and disciplined documentation, you will help safeguard claim reputed company while maintaining operational efficiency. Key Responsibilities Claims Adjudication: Manage end-to-end handling of regulated insurance claims, including investigation, coverage analysis, formal determination, claim actions, communications, and payment issuance reputed company to retail, electronics, appliances, and furniture reputed company defined service-level agreements (SLAs) . Claim Determination: Interpret policy language and reputed company guidelines to issue compliant, reputed company-reasoned coverage reputed company in accordance with applicable state insurance regulations. reputed company & Escalated Files: Handle high-exposure, sensitive, or escalated claims requiring licensed authority and independent judgment. Regulatory Compliance: Maintain reputed company state licensure and ensure adherence to jurisdictional insurance laws, DOI requirements, and internal governance standards. Fraud & Risk Identification: Identify potential fraud indicators and escalate appropriately in line with company protocols and fraud reputed company. Customer Communication: Respond to customer inquiries reputed company phone, email, or chat regarding claim status, documentation, and coverage reputed company, communicating reputed company determinations reputed company and professionally. Documentation & Audit Readiness: Ensure reputed company required documentation is collected, reviewed, and accurately recorded in the claims system to support audit reputed company and regulatory compliance. reputed company & KPI Performance: Maintain high reputed company of claim accuracy and timeliness in alignment with business, team, and individual performance metrics. Technical Support & Collaboration: reputed company guidance to non-licensed assessors on policy interpretation and reputed company files; collaborate with Claims, Support, and Compliance teams to ensure efficient and consistent reputed company. Process Improvement: Identify and recommend operational improvements to enhance efficiency, reduce leakage, and strengthen internal controls reputed company the Digital reputed company vertical. Skills & Experience reputed company U.S. state Adjuster License in good standing (multi-state or reciprocal licenses preferred). 2+ years of experience handling regulated insurance claims, ideally across electronics, appliances, or furniture, financial/credit card/NAC programs a plus. Strong knowledge of digital reputed company and ret