Pet Insurance Claims Examiner

3 weeks ago


New York, New York, United States Fetch Pet Insurance Full time

We are seeking a skilled Pet Insurance Claims Examiner to join our team at Fetch Pet Insurance. As a Claims Examiner, you will play a critical role in ensuring that our customers receive fair and timely claims processing.

Key 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

Requirements:

  • 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
  • Demonstrated problem solving skills and ability to work through complex medical/vet-related scenarios affecting a pet's diagnosis and/or treatment plan
  • Bachelor's degree in veterinary science OR CVT or equivalent preferred

What We Offer:

  • 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

We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to creating an inclusive and supportive work environment that values diversity, equity, and inclusion.



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