Travel Claims Processor

Job Summary We are seeking a detail-oriented Travel Claims Processor – Health to join our team. In this role, you will be responsible for reviewing and processing medical claims submitted under travel insurance policies. You will assess claim eligibility, verify supporting documentation, and ensure claims are processed accurately, efficiently, and in compliance with company policies and regulatory requirements. You will work closely with customers, healthcare providers, assistance partners, and internal teams to deliver timely claim resolutions and exceptional customer service. Key Responsibilities Review, assess, and process medical claims submitted under travel insurance policies. Verify claim eligibility by reviewing policy coverage, medical documentation, travel details, and supporting records. Collect, validate, and organize required documents, including medical reports, hospital bills, receipts, travel itineraries, and claim forms. Accurately enter and maintain claims information within the claims management system. Identify discrepancies, incomplete documentation, or potential fraudulent claims, escalating complex cases when appropriate. Conduct initial investigations and request additional information from customers, healthcare providers, or assistance partners as needed. Coordinate with healthcare providers, medical assistance companies, internal departments, and third-party vendors to facilitate timely claim resolution. Respond to customer inquiries regarding claim status, required documentation, coverage, and processing timelines. Maintain accurate claim records while ensuring confidentiality of sensitive customer and medical information. Ensure all claims are processed in accordance with travel insurance policy terms, company procedures, regulatory requirements, and quality standards. Contribute to continuous process improvements that enhance operational efficiency and customer experience. Qualifications Bachelor's degree in any field. Previous experience in travel insurance claims, health/medical claims, insurance operations, claims processing, or customer service is preferred. Experience handling medical documentation, healthcare claims, or insurance reimbursements is an advantage. Strong attention to detail and excellent organizational skills. Good verbal and written communication skills. Ability to manage confidential medical and customer information with professionalism and discretion. Proficiency in claims management systems and Microsoft Office applications. Knowledge of travel insurance, medical claims processing, or insurance policy interpretation is an advantage. Preferred Skills Strong analytical and problem-solving skills with the ability to assess claim eligibility and supporting documentation. Ability to prioritize multiple claims while maintaining accuracy and meeting service level agreements (SLAs). Customer-focused mindset with excellent interpersonal and communication skills. Ability to collaborate effectively with healthcare providers, assistance companies, and cross-functional teams. Knowledge of travel insurance benefits, medical terminology, and claims adjudication is highly desirable.