Credit Claims Specialist – Precise Adjudication & Service

Fortegra; Jacksonville (FL); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Life insurance

Vision

Disability (short/long-term)

401(k)

Tuition assistance

Job summary

Fortegra in Jacksonville, FL is seeking a Credit Claims Examiner to adjudicate Credit Protection and Debt Cancellation claims while delivering excellent customer service. The role involves reviewing documentation, determining eligibility, and communicating decisions in accordance with policy provisions and regulatory requirements.

The position balances claim adjudication with inbound calls and requires strong communication, accuracy, and attention to detail.

Qualifications

• High School Diploma or equivalent.
• Minimum 2 years’ experience in claims.
• Experience reviewing documentation to determine coverage/eligibility.
• Strong customer service and communication skills.
• Experience handling confidential information including HIPAA considerations, where applicable.

Responsibilities

• Review, adjudicate Credit Protection and Debt Cancellation claims per policy and eligibility.
• Enter claim information into multiple systems accurately and promptly.
• Balance adjudication with inbound customer service (40–60 calls on designated days).
• Provide professional, empathetic service to customers, financial institutions, vendors, and partners.
• Investigate for potential fraud indicators and escalate per anti-fraud procedures.
• Maintain audit-ready claim files and ensure regulatory compliance.

Skills

Customer service

Claims processing

Attention to detail

Verbal/written communication

Education

High school diploma

Job description

Fortegra in Jacksonville, FL is seeking a Credit Claims Examiner to adjudicate Credit Protection and Debt Cancellation claims while delivering excellent customer service. The role involves reviewing documentation, determining eligibility, and communicating decisions in accordance with policy provisions and regulatory requirements.

The position balances claim adjudication with inbound calls and requires strong communication, accuracy, and attention to detail.