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Licensed Pet Insurance Adjuster
1 month ago
Seeking a P&C licensed Pet Adjuster with vet tech background.
Must have prior Pet Insurance claims adjuster experience
Must have prior vet tech experience
Must hold an active P&C license (or currently pending)
RESPONSIBILITIES.
- Adjudicate assigned claims in accordance with the Terms & Conditions of the individual pet’s policy
- Review medical records, lab results, invoices, and claims forms for complete and thorough assessment
- Process claims determinations to include assessment and payment for submitted claims
- Verify claims coverage through in-depth knowledge of policy Terms & Conditions
- Consult with treating veterinary practices regarding medical records evaluation and necessary documentation
- Maintain an average quality assurance score above department minimums
- Complete assigned tasks within compliance deadlines
- Maintain an average productivity rate above department minimums
- Provide feedback on process opportunities to further strengthen SOPs
REQUIRED SKILLS.
- Comprehensive understanding of disease processes and veterinary medical terminology
- Ability to read and interpret veterinary medical records and invoices
- Ability to identify chronic and acute medical conditions
- Adapt quickly in a fast-paced, ever-changing environment and operate multiple computer systems simultaneously
- Work independently in a remote capacity, while also fostering teamwork and collaborating with others
- Superior communication skills for collaboration with team members and support from managers
- Demonstrated problem solving skills and ability to work through complex medical/vet-related scenarios affecting a pet’s diagnosis and/or treatment plan
QUALIFICATIONS.
- Minimum of five years experience as a veterinary technician
- Bachelor's degree in veterinary science OR CVT or equivalent preferred
- Property and Casualty Adjuster license in good standing preferred
- Complete and pass state adjuster licensing
- Be reliable with good attendance
- Able to work a minimum of 42 hours per week, with occasional weekends and extra hours as needed
WORK-FROM-HOME SET-UP.
- Subscription to reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbps upload speed)
- A quiet, dedicated place to work in your home that is not easily disrupted by background noises or distractions
- Office workspace must be large enough to accommodate two 19” dual monitors, laptop, mouse, keyboard, and headset
- Ability to set up and connect (with instructions and remote IT team assistance) equipment that is shipped to your home
