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Claims Adjuster

External
fetch logoFetch · Worldwide
Full-timeRemote1mo ago
ComplianceDocumentation
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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
  • Complete assigned tasks within compliance deadlines
  • Maintain an average productivity rate above department minimums
  • Provide feedback on process opportunities to further strengthen SOPs
  • Required Skills:
  • 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
  • Superior communication skills for collaboration with team members and support from managers
  • Demonstrated problem solving skills and ability to work through complex medical/vet-related scenarios affecting a pet's diagnosis and/or treatment plan

Requirements

  • Minimum of five years experience as a veterinary technician
  • Bachelor's degree in veterinary science OR CVT or equivalent preferred
  • Property and Casualty Adjuster license in good standing preferred
  • Complete and pass state adjuster licensing
  • Be reliable with good attendance
  • Able to work a minimum of 42 hours per week, with occasional weekends and extra hours as needed

Benefits

The pay range for this position is $21.63 - $26.44 a full-time basisAlong with base salary, your position may qualify for additional bonusesThis position is eligible for the Company's bonus plan(s)Work-From-Home- Set-Up :Subscription to reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbpsupload speed)A quiet, dedicated place to work in your home that is not easily disrupted by background noises ordistractionsOffice workspace must be large enough to accommodate two 19" dual monitors, laptop, mouse, keyboard,and headsetAbility to set up and connect (with instructions and remote IT team assistance) equipment that is shippedto your homeBenefits & PerksComprehensive Medical, dental, and vision plan for you and your familyHealth Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are availableHighly competitive 401(k) matchingGenerous 20-day PTO Policy, with rollover options. Earn an additional day of PTO each year on your anniversary with Fetch, for a maximum of 30 daysPaid company (9) holidays, including (1) floating holidayFetch Pet Insurance discount - up to 50% off, up to $1,000 savingHealth insuranceDental insuranceVision insurance401(k)Paid time offRemote work optionsFlexible schedulePerformance bonus

Additional Information

About Fetch At Fetch , we're dedicated to helping pets live their healthiest and happiest lives. Our comprehensive insurance coverage is designed with modern pet parents in mind, and we're proud to support the veterinary, shelter, and breeder communities. We believe in ensuring pets receive the best care possible and are committed to making that vision a reality every day. Fetch is a high-growth Warburg Pincus portfolio company with an expanding team of over 350 pet-loving employees working together to shape the future of pet health and wellness. About the Industry The pet insurance industry is more important than ever, offering peace of mind and financial protection for pet owners. The sector is expanding quickly, fueled by growing awareness of the need for accessible, high-quality veterinary care. With advances in veterinary medicine, pets now have access to the most effective treatments available, making pet insurance an essential component of modern pet care. Job Overview Fetch Pet Insurance is seeking a detail-oriented and compassionate Claims Adjuster (Veterinary) to join our growing remote team. In this role, you will be responsible for reviewing and adjudicating pet insurance claims in accordance with policy terms and company guidelines, ensuring accurate, fair, and timely determinations for our pet parents. This position plays a critical role in supporting Fetch's mission to make veterinary care more accessible and affordable. The ideal candidate brings strong veterinary medical knowledge, excellent analytical skills, and a commitment to delivering high-quality service in a fast-paced, remote environment.


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