Remote Travel Claims Examiner & Customer Service Representative – Travel Insurance Claims Processing & Client Support

About brighthush and the Travel Insurance Landscape

brighthush is a leading provider of innovative insurance brokerage and risk‑management solutions, serving businesses and individuals across the United States. With a legacy that dates back to 1939, brighthush has grown into a trusted partner for more than 10,000 employees worldwide, delivering exceptional service and cutting‑edge solutions that protect people and assets. Our Travel department is at the forefront of safeguarding travelers, ensuring that every claim is handled with precision, empathy, and compliance.

As the world becomes increasingly mobile, the demand for reliable travel insurance has never been higher. At brighthush, we are committed to providing travelers with peace of mind through comprehensive coverage and responsive support. We’re looking for a dedicated, detail‑oriented professional to join our remote team as a Travel Claims Examiner and Customer Service Representative. This role is pivotal—serving as the first point of contact for claimants, independently processing claims, assessing coverage eligibility, and communicating findings—all while upholding the highest standards of HIPAA compliance.

Key Responsibilities

• Independent Claims Processing: Evaluate and process travel claims in strict accordance with company policies, state and federal regulations, and the specific terms of each policy.
• Policy Knowledge & Application: Maintain up‑to‑date knowledge of all travel insurance plans, including coverage limits, exclusions, and claim procedures, and apply this knowledge to every claim decision.
• Customer Interaction: Serve as the primary point of contact for claimants and suppliers—handling inbound calls, responding to emails, and making outbound calls in a professional, courteous, and proactive manner.
• Performance Excellence: Consistently meet or exceed established performance metrics, including claim processing volume, accuracy, turnaround time, and customer satisfaction scores.
• Compliance & Quality Assurance: Ensure all claims are processed in compliance with HIPAA regulations, internal controls, and audit requirements. Participate in quality assurance reviews and continuous improvement initiatives.
• Independent Decision‑Making: Operate autonomously within established guidelines, exercising sound judgment and critical thinking to resolve complex claim scenarios.
• Collaboration & Teamwork: Work closely with cross‑functional teams—underwriting, fraud, and legal—to resolve ambiguities, share insights, and drive process enhancements.
• Documentation & Reporting: Accurately document all claim activities in the claims management system, generate reports, and provide insights to management on trends, bottlenecks, and opportunities.

Essential Qualifications

• High school diploma or equivalent; associate’s or bachelor’s degree in Business, Finance, or a related field preferred.
• Minimum of 2 years of experience in insurance claims processing, preferably in travel or health insurance.
• Strong analytical skills with the ability to read, interpret, and apply complex policy documents, regulations, and technical procedures.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with claims management systems.
• Excellent verbal and written communication skills, with a customer‑centric approach.
• Demonstrated ability to manage time effectively, prioritize tasks, and meet deadlines in a fast‑paced environment.
• Knowledge of HIPAA regulations and a proven track record of maintaining confidentiality and compliance.
• Strong problem‑solving skills and the capacity to resolve issues independently while escalating appropriately.

Preferred Qualifications

• Experience working in a remote or virtual team environment.
• Familiarity with travel insurance products, including trip cancellation, interruption, medical, and evacuation coverage.
• Knowledge of state and federal insurance regulations, including the Affordable Care Act and the Health Insurance Portability and Accountability Act.
• Previous exposure to claims audit processes and quality assurance initiatives.
• Certification in Claims Management (e.g., Certified Claims Professional) or related credentials.

Core Skills & Competencies

• Analytical Thinking: Ability to dissect complex claim scenarios and make informed decisions.
• Customer Service Excellence: Empathy, patience, and a genuine desire to help travelers navigate their claims.
• Attention to Detail: Meticulousness in reviewing documentation, verifying coverage, and ensuring accurate payments.
• Adaptability: Comfortable with evolving policies, procedures, and technology platforms.
• Team Collaboration: Willingness to share knowledge, support peers, and contribute to a positive team culture.
• Technology Proficiency: Comfortable using cloud‑based systems, VoIP, and other remote collaboration tools.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear pathways for advancement. As a Travel Claims Examiner, you will have the opportunity to:

• Progress to senior claims roles, such as Claims Manager or Claims Analyst, overseeing larger portfolios and mentoring junior staff.
• Transition into specialized areas like Fraud Investigation, Underwriting, or Compliance.
• Participate in continuous learning programs, including webinars, workshops, and industry conferences.
• Earn professional certifications (e.g., CPC, CCA) through our tuition reimbursement and sponsorship programs.
• Leverage our internal mobility platform to explore roles across different departments and geographies.

Work Environment & Company Culture

brighthush is proud of its inclusive, collaborative, and forward‑thinking culture. As a remote employee, you’ll enjoy:

• Flexible work hours that accommodate your personal and professional life.
• A fully equipped home office stipend to ensure you have the tools you need.
• Regular virtual team meetings, town halls, and social events to foster connection.
• A culture that values transparency, continuous improvement, and employee well‑being.
• Access to a digital library of resources, including industry research, best‑practice guides, and internal knowledge bases.

Compensation, Perks, and Benefits

While specific salary ranges are tailored to experience and location, brighthush offers a competitive total rewards package that includes:

• Comprehensive medical, dental, and vision coverage.
• Life and disability insurance.
• 401(k) retirement plan with company match.
• Employee Stock Purchase Plan (ESPP).
• Student loan repayment assistance.
• Tuition reimbursement for approved courses and certifications.
• Paid time off (PTO) and paid holidays.
• Free mental health and enhanced advocacy services.
• Preferred partner discounts on travel, technology, and lifestyle products.
• Annual wellness stipend and access to virtual fitness classes.

Why Join brighthush?

When you join brighthush, you become part of a mission‑driven organization that values integrity, innovation, and impact. You’ll:

• Work with a passionate team dedicated to protecting travelers worldwide.
• Enjoy the flexibility of remote work while staying connected through modern collaboration tools.
• Benefit from a culture that rewards initiative, creativity, and continuous learning.
• Contribute to meaningful outcomes—helping people recover from unexpected travel disruptions.

Ready to Apply?

If you are a detail‑oriented, customer‑focused professional with a passion for travel insurance and a commitment to compliance, we want to hear from you. Bring your expertise, your curiosity, and your drive to make a difference to brighthush’s Travel Claims team.

Click the link below to submit your application and take the next step in your career journey.