Pet Claims Adjuster/Examiner 1099 Independent Contractor

ET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT

CONTRACTORJob 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