Licensed Claims Adjuster

Job type: Full Time · Department: Claims Services \- 333 · Work type: Remote · USD 44,000\-59,000 / year New York, New York, United States Job details **About the Company** Cover Genius is a Series E Insurtech that protects the global customers of the world’s largest digital companies including Booking Holdings, owner of Priceline, Kayak and Booking.com, Intuit, Hopper, Skyscanner, Ryanair, Turkish Airlines, Descartes ShipRush, Zip and SeatGeek. We’re also available at Amazon, Flipkart, eBay, Wayfair and SE Asia’s largest company, Shopee. Our partners integrate with XCover, our award\-winning insurance distribution platform, to embed protection for millions of customers worldwide each year. Our team and products have been recognized with dozens of awards including by the Financial Times who ranked Cover Genius as the \#1 fastest growing company in APAC in 2020\. Our diverse team across 20\+ countries and many language groups commits itself to diverse cultural programs, in particular “CG Gives” which makes social entrepreneurs out of us all and funds development initiatives in global communities. Our People are Bold, Authentic, Purposeful and Inspired Our People are not Perfect, Traditional, Complacent or Cautious ### **About the Role** We are seeking a **Licensed Claims Adjuster** who will be responsible for adjudicating regulated insurance claims within the **Digital Commerce** vertical. This role sits at the intersection of regulatory compliance, policy interpretation, and operational performance. The position combines traditional claims handling responsibilities—such as conducting investigations, reviewing documentation, interpreting policy language, issuing coverage determinations, and maintaining detailed file documentation—with elevated authority to handle regulated and complex files requiring state licensure. This is not a purely administrative role nor a purely customer service role, but a specialized position designed to strengthen compliance, technical accuracy, and financial risk controls across the claims function. You will collaborate closely with the Claims Manager and cross\-functional stakeholders to ensure timely, compliant, and well\-reasoned determinations on complex and/or high\-exposure claims related to electronics, appliances, furniture, and other retail goods. Combining sound coverage judgment and disciplined documentation, you will help safeguard claim quality while maintaining operational efficiency. **Key Responsibilities** * **Claims Adjudication:** Manage end\-to\-end handling of regulated insurance claims, including investigation, coverage analysis, formal determination, claim actions, communications, and payment issuance related to retail, electronics, appliances, and furniture within defined service\-level agreements (SLAs) . * **Claim Determination:** Interpret policy language and underwriting guidelines to issue compliant, well\-reasoned coverage decisions in accordance with applicabl