Claims Adjudication Specialist

Location: Remote, US

Salary: $45,000–$55,000 per year

Company

hirify.global provides AI-driven post-purchase solutions for retailers, including automated customer service, returns and exchanges, fulfillment, product and shipping protection, and fraud detection.

What you will do

• Act as an escalation point for outsourced partners, customer support teams, and service technician partners.
• Investigate and resolve complex product and shipping protection claims in accordance with contract terms and internal policies.
• Troubleshoot processing delays, coordinate technician dispatching and parts ordering, and provide timely resolutions.
• Resolve escalated customer issues through fair policy-based decisions and communicate outcomes by phone and email.
• Investigate suspected fraudulent claims, maintain detailed interaction records, and report findings.
• Collaborate with Product and Engineering, recommend process improvements and automation opportunities, and communicate training needs for frontline support teams.

Requirements

• 3–5 years of experience in technical customer service, claims management or adjudication, insurance adjusting, or contact center work; claims adjudication in a protection plan environment is preferred.
• Excellent verbal and written communication skills, including the ability to explain complex claim details and decision rationale clearly to customers and internal stakeholders.
• Strong analytical skills, critical thinking, and the ability to analyze complex issues, identify solutions, and make efficient decisions.
• Ability to adapt to frequent changes in processes and technology in a fast-paced environment, demonstrating flexibility and resilience.
• Experience with claims management systems, contact center platforms, and Google Workspace products.
• Ability to navigate and work effectively across multiple software systems simultaneously.
• Ability to maintain performance and accuracy in high-volume claims environments during rapid company growth.

Nice to have

• Active adjuster licenses.

Culture & Benefits

• Collaborative and supportive environment with colleagues from diverse backgrounds.
• Medical, dental, and vision benefits.
• Stock in an early-stage startup.
• Generous flexible paid time off policy.
• 401(k) with financial guidance from Morgan Stanley.