Investigate, evaluate, and resolve travel medical claims end-to-end Adjudicate benefits per policy terms and statutory requirements Process invoices through cost-containment networks Maintain clear, timely updates to customers, providers, and partners on claim status Document thoroughly in the claims system and ensure complete, high-quality files Assess the need for medical management and escalate appropriately Process bills in accordance with statutory requirements and internal controls Identify potential fraud/waste/abuse and collaborate with investigative team Deliver excellent written and verbal customer communication throughout the claim lifecycle Perform additional responsibilities as needed to support the team and our customers. Proven experience handling travel insurance claims, including complex domestic and international cases Current (or ability to obtain) state adjuster licensing A belief that claims processing should enhance, not hinder, the customer experience Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving, brainstorming, and researching Comfort working with data, forms, spreadsheets, and policy wordings.