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Claims Adjuster

1 month ago

New York, United States Fetch Pet Insurance Full time

Fetch Pet Insurance, a tech-enabled pet wellness company, has consistently been an innovative leader in the pet insurance industry, offering the most extensive and all-inclusive pet insurance and health advice.

Put simply, Fetch makes vet bills affordable. We offer a comprehensive product that does not have any restrictions based on breed, age, or size. We are believers in helping pets get through their bad days but also focus on extending the good days. How do we do that? through a wide portfolio of products + offerings, which include Fetch Health Forecast, our pet health and lifestyle blog, The Dig, and our partnerships with Project Street Vet and animal no-kill shelters across North America.

Our business is growing and we are looking for compassionate professionals that want to join a team that works hard and celebrates success You will have an opportunity to hone your skills and develop new skills as you learn the ins-and-outs of Fetch pet insurance and support our pet parents. Your success is our success


RESPONSIBILITIES.

  • Adjudicate assigned claims in accordance with the Terms & Conditions of the individual pets 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 pets 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


ABOUT FETCH

Fetch is a high-growth, Warburg-Pincus portfolio company. We are a passionate group of 200+ employees and partners across the U.S. and Canada dedicated to helping pets live their best lives. We have two offices (New York City, NY, and Winnipeg, Canada), and we currently provide security to over 360,000 pet parents.

We dont just accept differences we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. We are proud to be an equal opportunity employer. We recruit, hire, pay, grow and promote no matter of gender, race, color, sexual orientation, religion, age, protected veteran status, physical and mental abilities, or any other identities protected by law.