特殊/非标准理赔专员
Specialty/Non-Standard Claims Adjuster
关于Reserv
Reserv是一家保险科技公司，致力于开发和孵化前沿的AI和自动化技术，为理赔带来效率和简便。由拥有丰富SaaS和数字理赔经验的保险科技老兵创立，Reserv获得Bain Capital和Altai Ventures的风险投资，并于2022年5月开始运营。我们专注于自动化高度人工的任务，解决理赔中的长期问题，并为TPA、保险科技提供商和理赔员树立新的标准。我们有雄心勃勃（但可实现的）目标，需要能在不断变化的环境中工作的人才。如果构建领先的TPA以及应对理赔角色长期挑战的前景听起来令人兴奋，我们迫不及待地想见到你。
职位描述
我们正在寻找一位高度组织化、注重细节且以客户为中心的非标准理赔员，以支持我们的押金替代和担保计划。在此职位中，您将处理涉及非标准保单条款和复杂合同协议的第一方理赔。成功需要强大的分析能力，以及准确且自信地解读保单格式、租赁协议、财务账目和支持性附加文件的能力。
您将直接与物业经理、保单持有人和内部利益相关者合作，推动公平、全面且及时的理赔结果。此职位需要清晰的沟通能力、良好的判断力，以及在保持高水平专业性和同理心的同时，处理复杂的承保立场。
该职位适合一位在快节奏、不断变化的环境中茁壮成长并享受在专业计划中工作的理赔员。合适的候选人应具备适应能力、解决问题导向，并能平衡高理赔量与卓越的服务交付和合规标准。
您具备以下特质：
- 高度积极进取，注重成长。您对建立一个以技术驱动的理赔组织充满热情。
- 热情的理赔员。您非常重视客户体验，并致力于提供公平、及时的解决方案。
- 富有同理心。您在每一次互动中都展现出耐心和理解。
- 紧迫但平衡。您具有紧迫感，但明白这并不意味着全天候工作。
- 创新的问题解决者。您能找到高效解决理赔的方法，同时始终考虑被保险人的最佳利益。
- 习惯于冲突。您将冲突视为对话而非对抗——一次协作和重新定义的机会。
查看英文原文
About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
We are seeking a highly organized, detail-oriented, and customer-focused Non-Standard Claims Adjuster to support our deposit replacement and surety programs. In this role, you will manage first-party claims involving non-standard policy language and complex contractual agreements. Success requires strong analytical skills and the ability to interpret policy forms, lease agreements, financial ledgers, and supporting addenda with accuracy and confidence.
You will work directly with property managers, policyholders, and internal stakeholders to drive fair, thorough, and timely claim outcomes. This role requires clear communication, sound judgment, and the ability to navigate nuanced coverage positions while maintaining a high level of professionalism and empathy.
This position is ideal for an adjuster who thrives in a fast-paced, evolving environment and enjoys working within specialty programs. The right candidate is adaptable, solutions-oriented, and comfortable balancing high claim volume with exceptional service delivery and compliance standards.
Who You Are:
- Highly motivated and growth-oriented. You’re excited about building a tech-driven claims organization.
- Passionate adjuster. You care deeply about the customer experience and delivering fair, timely resolutions.
- Empathetic. You exercise patience and understanding in every interaction.
- Urgent but balanced. You work with a sense of urgency but understand that doesn’t mean working at all hours.
- Creative problem-solver. You find innovative ways to resolve claims efficiently while keeping the insured’s best interests in mind.
- Comfortable with conflict. You see conflict as a conversation, not a confrontation—an opportunity to collaborate and resolve issues.
- Curious. You want to know the whole story to make informed decisions early and drive prompt resolutions.
- Anti-status quo. You don’t just wish things were different—you take action to improve processes and outcomes.
- Communicative. You can break down complex topics, actively listen, and ensure clarity in every interaction. (What does this mean to you? We’d love to know!)
- Sense of humor. Claims are challenging—you know how to keep things light when needed.
What you'll do
- Provide prompt, courteous, and high-quality customer service.
- Manage a high volume of low-complexity claims; set and adjust reserves appropriately.
- Gather necessary information and documentation to initiate the claims process, explain coverage, and outline the next steps.
- Analyze contracts, financial ledgers, lease agreements, and addenda to determine claim validity and obligations.
- Ensure compliance with state regulations, policy provisions, and internal procedures.
- Communicate with all involved parties and issue payments within the set authority.
- Contribute to the continuous improvement of claims guidelines, best practices, and workflows.
- Oversee and direct investigative service providers, working closely with clients, counsel, and other stakeholders.
- Stay informed on industry trends, legal decisions, and policy changes affecting claims handling.
Qualifications
- Bachelor’s degree preferred (but if you meet the other qualifications, don’t let that stop you from applying!).
- 3 years of experience in general claims handling or related insurance roles.
- Ability to interpret non-standard policy language, contract terms, and lease agreements.
- Have active adjuster license(s) and be willing to obtain all required licenses within 60 days, including completing state-required testing
- Familiarity with state regulations, policy provisions, and claims procedures.
- Strong analytical skills—able to evaluate complex data and make sound decisions.
- Curious, proactive, and always looking for better ways to do things.
- The desire for continuous learning and professional growth.
- Willingness to travel for client and claim needs.
- Excellent verbal and written communication skills with strong attention to detail.
- Superior organizational skills—able to prioritize and manage workload efficiently.
- Comfortable with an Apple laptop, Google Docs, Sheets, and other relevant software.
Benefits
- Generous health-insurance package with nationwide coverage, vision, & dental
- 401(k) retirement plan with employer matching
- Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
- Generous family leave policy after 8 months of continuous work
- Work from anywhere to facilitate your work life balance
- Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
- Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
- Work toward reducing and eliminating all the administrative work from an adjuster role
- Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
Originally posted on Himalayas