Credit Claims Specialist: Precise Adjudication & Impact

Fortegra; Jacksonville (FL); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) plan

Tuition assistance

Job summary

Fortegra, based in Jacksonville, seeks a Claims Advisor to review, adjudicate and process credit-related claims with precision and compliance. The role emphasizes validating eligibility, interpreting contracts, calculating benefits, and documenting decisions in a fast-paced environment.

The ideal candidate has 2–4 years in claims or related fields, solid analytical skills, and a strong focus on accuracy, confidentiality, and cross-functional collaboration with leadership and operations.

Qualifications

• 2–4 years of claims processing experience in insurance, credit protection, or financial services preferred.
• Experience reviewing contracts, policies, or supporting documentation preferred.
• Ability to analyze information and make accurate decisions based on guidelines.
• Strong attention to detail to identify discrepancies or missing information.
• Proficient with data entry and navigating multiple systems.

Responsibilities

• Review and adjudicate credit-related claims by evaluating documentation, coverage, eligibility, and guidelines.
• Analyze loan, account, payment, or other supporting documents relevant to the claim type.
• Determine payment or denial based on contractual requirements and procedures.
• Validate information for completeness and accuracy before adjudication.
• Calculate benefits and payment amounts per contract provisions and procedures.
• Escalate complex or questionable claims to leadership as needed.
• Maintain accurate claim records and support timely processing and reporting.
• Identify discrepancies and obtain additional documentation when needed.
• Communicate claim decisions and documentation needs professionally to stakeholders.

Skills

Analytical thinking

Attention to detail

Claims processing

Regulatory knowledge

Communication skills

Education

High School diploma (associate/bachelor preferred)

Tools

Data entry

Multiple systems

Claims software/CRM

Job description

Fortegra, based in Jacksonville, seeks a Claims Advisor to review, adjudicate and process credit-related claims with precision and compliance. The role emphasizes validating eligibility, interpreting contracts, calculating benefits, and documenting decisions in a fast-paced environment.

The ideal candidate has 2–4 years in claims or related fields, solid analytical skills, and a strong focus on accuracy, confidentiality, and cross-functional collaboration with leadership and operations.