Insurance Claims Specialist
2 weeks ago
Fetch Pet Insurance, a pioneering company in the pet wellness sector, stands out as a leader in the pet insurance market, providing comprehensive and inclusive insurance options along with health guidance for pets.
At Fetch, we believe in making veterinary expenses manageable. Our extensive offerings are designed without limitations based on breed, age, or size. We are committed to supporting pets through their challenging times while also enhancing their joyful moments. This is achieved through a diverse range of products and services, including Fetch Health Forecast, our informative pet health and lifestyle blog, The Dig, and collaborations with Project Street Vet and no-kill animal shelters across North America.
As our organization expands, we are seeking empathetic professionals eager to join a dedicated team that values hard work and celebrates achievements. You will have the chance to refine your existing skills and acquire new ones as you navigate the intricacies of Fetch pet insurance and assist our pet owners. Your achievements contribute to our collective success.
KEY RESPONSIBILITIES:
- Evaluate assigned claims in accordance with the Terms & Conditions of each pet's policy.
- Examine medical documentation, laboratory results, invoices, and claims submissions for thorough evaluation.
- Process claims decisions, including assessment and payment for submitted claims.
- Confirm claims coverage through a comprehensive understanding of policy Terms & Conditions.
- Engage with veterinary practices to discuss medical records assessments and required documentation.
- Maintain a quality assurance score that exceeds departmental standards.
- Complete assigned tasks within established compliance timelines.
- Achieve a productivity rate that surpasses departmental benchmarks.
- Provide insights on process improvements to enhance standard operating procedures.
ESSENTIAL SKILLS:
- Thorough knowledge of disease processes and veterinary medical terminology.
- Ability to interpret veterinary medical records and invoices accurately.
- Capability to identify both chronic and acute medical conditions.
- Adaptability in a dynamic, fast-paced environment while managing multiple computer systems.
- Ability to work independently in a remote setting while promoting teamwork and collaboration.
- Excellent communication skills for effective collaboration with team members and managerial support.
- Proven problem-solving abilities to navigate complex medical or veterinary scenarios impacting a pet's diagnosis or treatment plan.
QUALIFICATIONS:
- A minimum of five years of experience as a veterinary technician.
- Preferred: Property and Casualty Adjuster license in good standing.
- Must complete and pass state adjuster licensing requirements.
- Reliability and good attendance are essential.
- Able to commit to a minimum of 42 hours per week, including occasional weekends and additional hours as necessary.
WORK-FROM-HOME REQUIREMENTS:
- Access to a reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbps upload speed).
- A quiet, dedicated workspace at home that minimizes background noise and distractions.
- Workspace must accommodate dual 19" monitors, a laptop, mouse, keyboard, and headset.
- Ability to set up and connect equipment provided to your home with assistance from remote IT support.
—ABOUT FETCH—
Fetch is a rapidly growing company backed by Warburg-Pincus. Our passionate team of over 200 employees and partners across the U.S. and Canada is dedicated to enhancing the lives of pets. We proudly serve over 360,000 pet owners.
We embrace diversity and are committed to creating an inclusive environment for all employees. We are proud to be an equal opportunity employer, promoting recruitment, hiring, compensation, growth, and advancement without regard to gender, race, color, sexual orientation, religion, age, veteran status, physical and mental abilities, or any other identities protected by law.
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