Job Description
Job Description:
Summary:
The Claim Adjuster is an individual contributor role responsible for successfully and compliantly adjudicating claims, meeting claim execution targets, and delivering a WoW! experience to our Pet Parents every day.
Responsibilities:
Adjudicating claims
Meeting or exceeding daily claim targets
Providing guidance, oversight, and final approval authority to non-licensed claims processors from GenPact, AdStrat, or Healthy Paws
Obtaining and maintains advanced adjuster licenses according to state and municipality requirements
Ensuring claims are compliantly processed and adjudicated following standard operating procedures and processes
Identifying process improvement opportunities and implementing solutions
Skills:
Be a licensed Claim Adjuster or have the experience to become a licensed Claim Adjuster within six months
Property and Casualty License
Ability to effectively communicate with pet parents
Problem solving and decision-making skills
Organizational and time management skills
Basic IT skills - To be successful in this fully remote role, it's important that they feel confident managing basic functions independently-such as attaching files to emails, editing shared documents, troubleshooting simple issues like screensharing, and knowing when to escalate tech concerns to the right person-since all job duties are conducted online.
Outlook
Word
Access
Power Point
Experience with ERP or CRM systems a plus
Education and experience:
Veterinary knowledge or experience evaluating medical records a plus
2+ years of customer service or call center experience
High school diploma or equivalent work experience
1. They will be managing one calendar with minimal invites (team meetings, 1:1s, etc.). They will send both free form and templated emails in Salesforce, but the mechanism is similar between Outlook and Salesforce.
2. The ability to do Pivot Tables, Vlookups, or formulas is not necessary but would be an asset if they became FTEs. They will have minimal, if there is any, work in Excel.
3. They will have minimal use of Power point but would use existing slides.
Job Tags
Work experience placement, Remote work,
Similar Jobs
Mira
...cutting-edge technology, and science-backed data. About the position We are looking for a Corporate Accountant, seeking an experienced External Accountant (CPA)to support accurate financial reporting, US tax compliance, and scalable accounting processes as we...
Jet Aviation
...Responsibilities for this Position Captain - Gulfstream 550 (Teterboro, New Jersey) Location: Teterboro, NJ, US, 07608 Job Category: Flight Services Career Level: Technicians / Crew Requisition Id: 2804 Since 1967, Jet Aviation has been crafting flight...
Providence Health and Services
...Medical Assistant Apprentice at Providence Health and Services summary: The Medical Assistant Apprentice supports licensed practitioners by performing both administrative and clinical duties to provide basic patient care. This role involves enrolling in and completing...
Blue United Sourcing
...Speech Language Pathologist (SLP) Pediatric Outpatient Clinic Lake Havasu, AZ 13-Week Assignment | 36 Hours per Week $65$71 per hour Start Date: ASAP Opportunity for Permanent Placement We are seeking a Travel Speech Language Pathologist...
Express Employment Professionals - West Seneca
...Machine Operator~1st & 2nd Shifts available ~ Lancaster NY area. * Work site is NOT on a bus route *~$18 / hour Express Pros of West Seneca has partnered with a great company in the Lancaster NY area to fill immediate needs for full-timeMachine Operators. This...