Senior Claims Assessor (Veterinary Experience Required) - Remote

Overview

This role involves reviewing and assessing complex pet insurance claims, utilizing veterinary knowledge to ensure fair and justified outcomes.

In Short

• Review and assess complex pet insurance claims.
• Evaluate medical records and treatment plans.
• Provide guidance on clinical aspects of claims.
• Analyze claims to ensure alignment with diagnoses.
• Identify reasons for declined or partial claims.
• Communicate with veterinary clinics for information.
• Investigate unusual or high-value claims.
• Support continuous improvement in claims processing.
• Mentor junior claims assessors.
• Ensure adherence to regulatory requirements.

Requirements

• Veterinary experience required.
• Strong analytical skills.
• Excellent communication skills.
• Experience in claims assessment preferred.
• Ability to work independently.
• Detail-oriented with a focus on accuracy.
• Experience in customer service.
• Knowledge of regulatory standards.
• Ability to mentor others.
• Team player with collaborative skills.

Benefits

• Work from home flexibility.
• Opportunity for professional development.
• Supportive work environment.
• Competitive salary package.
• Health and wellness benefits.
• Engagement in continuous improvement initiatives.