Claims Processor - Associate

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 13Since 2021Company Site

Location

United States

Posted

5 days ago

Salary

Not specified

Claims ProcessingInsurance Policy AnalysisVeterinary Medical Records ReviewExplanation OF BenefitsCoverage Verification

Job Description

Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.

 

We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands. 

Pumpkin, a subsidiary of IPH, promises uncompromising care to the cats & dogs we love unconditionally. By helping prevent future health risks and ensuring access to gold-standard veterinary medicine and individualized support when it matters most–we aim to enable $1/2B in life-extending and life-saving treatment over the next five years.

Job Summary:

Pumpkin is seeking a Claims Processor who will report to the Supervisor, Claims. The Claims Processor is responsible for  investigating, evaluating, and settling insurance claims. This role also determines policy coverage for the claimed loss and appropriate compensation amount.

Job Location: Remote- USA

                             

Main Responsibilities: 

  • Works closely with veterinary hospitals, and policyholders to evaluate and review a pet’s medical history to determine a baseline of health.
  • Investigates and processes assigned insurance claims, verifies coverage, and compensation amounts, per insurance policy.
  • Updates Explanation of Benefits (EOB), pays and closes claim.
  • May order medical records from providers.
  • May communicate with clients and providers during treatment.
  • Performs other duties and responsibilities as assigned.

Basic Qualifications: 

  • 1 year relevant experience working in a veterinary clinic
  • Education: Must meet one of the following requirements:
    • Associate’s Degree or equivalent work experience (One-year relevant experience is equivalent to one year college); or
    • Certified Veterinary Technician (CVT)
    • Registered Veterinary Technician (RVT)
  • Must have flexible availability as schedule may include evenings, overnights, and weekends.
  • Only United States residents will be considered for this role

Expected Hours of Work:

  • This is a full-time position: Days and hours to be determined by needs of business.  Hours to be determined between employee and director.

#li-Remote

All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:

  • Comprehensive full medical, dental and vision Insurance
  • Basic Life Insurance at no cost to the employee
  • Company paid short-term and long-term disability
  • 12 weeks of 100% paid Parental Leave
  • Health Savings Account (HSA)
  • Flexible Spending Accounts (FSA)
  • Retirement savings plan
  • Personal Paid Time Off
  • Paid holidays and company-wide Wellness Day off
  • Paid time off to volunteer at nonprofit organizations
  • Pet friendly office environment
  • Commuter Benefits
  • Group Pet Insurance
  • On the job training and skills development
  • Employee Assistance Program (EAP)

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