Pet Claims Adjuster/Examiner 1099 Independent Contractor

ET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT

CONTRACTOR



Job Summary:

A Pet Insurance Claims Examiner/Adjuster investigates, verifies, and processes pet insurance claims to determine coverage and appropriate compensation. They evaluate claims, review documentation, and communicate with policyholders, veterinary hospitals, and other providers.



Responsibilities:


Review individual policies to make an eligibility determination with a high degree of accuracy
Contact veterinarians and clinic staff
Ensure compliance guidelines are met and both internal policies, procedures and contractual commitments
Work independently and with others in a virtual team setting
Use PC-based programs to enter data into the claims system, communicate with leaders and teammates, and organize information.
Create and issue claim decisions to policyholders using proper spelling, grammar, and punctuation in line with the policy terms
Calculate invoice totals, discounts, and tax rates
Be able to meet partners standards and metrics.






Qualifications:


High School Diploma or equivalent



5+ years of recent clinical veterinary experience (dog and cat) as a veterinary assistant, veterinary technician or veterinarian
Property & Casualty Adjuster License required
Knowledge of medical conditions and associated symptoms, procedures, treatments, secondary conditions, and pharmaceuticals used in veterinary medicine
Knowledge of canine and feline breeds, anatomy, and associated predispositions to illness
Ability to read and interpret medical diagnoses via medical records review, both written and digital.
Ability to navigate computer OS, Google Chrome and corresponding applications
Ability to work independently and as part of a team in a virtual environment
Demonstrable Microsoft Office proficiency: Work, PowerPoint, Excel, Outlook, Teams
Excellent oral and written communication skills
Strong mathematical and problem-solving skills
Ability to pass background check
Be able to work on weekends.




Qualifications a plus:


Certified Veterinary Technician (CVT), Licensed Veterinary Technician (LVT) or Registered Veterinary Technician (RVT) (Min 5 years’ experience)
Hands-on clinical experience within an emergency and/or specialty practice setting (examples include Oncology (medical +/-radiation), Ophthalmology, Internal Medicine, Neurology, and Cardiology)
Previous processing of pet health insurance claims
Bi-lingual (Spanish)




Special Requirements:


Must possess a laptop computer and Microsoft Work and Exce



Apply Now