Credit Claims Specialist: Adjudication & Analysis

Fortegra-; Jacksonville (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Company-paid disability insurance

Tuition assistance

Job summary

Fortegra seeks a Claims Advisor to review, adjudicate, and determine outcomes for credit-related claims in a fast-paced environment. The role requires evaluating documentation, interpreting contracts, and ensuring compliance with guidelines.

This position emphasizes accuracy, timely decisions, and collaboration with internal teams to manage complex claims while maintaining confidentiality and data integrity.

Qualifications

• 2–4 years of claims processing or related experience.
• Experience reviewing contracts and supporting documents.
• Ability to analyze information and make accurate, consistent decisions based on guidelines.
• Strong attention to detail and accuracy in claim documentation.

Responsibilities

• Reviews and adjudicates credit-related claims by evaluating documentation, coverage, eligibility, and contract provisions.
• Analyzes loan, account, payment, or other supporting documentation relevant to the claim type.
• Determines whether claims meet requirements for payment, adjustment, pend status, additional docs, or denial.
• Calculates claim benefits and ensures accuracy of payments within procedures.

Skills

Analytical thinking

Attention to detail

Communication skills

Discretion

Time management

Data entry

Education

High School diploma or equivalent

Associate or Bachelor's degree preferred

Tools

Data systems navigation

Job description

Fortegra seeks a Claims Advisor to review, adjudicate, and determine outcomes for credit-related claims in a fast-paced environment. The role requires evaluating documentation, interpreting contracts, and ensuring compliance with guidelines.

This position emphasizes accuracy, timely decisions, and collaboration with internal teams to manage complex claims while maintaining confidentiality and data integrity.