The Claims Adjuster Associate investigates, evaluates, and settles insurance claims by reviewing veterinary medical history and determining policy coverage. They work closely with veterinary hospitals and policyholders to verify compensation amounts and maintain accurate claim documentation.
Requirements overview
Candidates must have at least one year of relevant experience in a veterinary clinic or hold a certification as a Veterinary Technician. An Associate’s degree or equivalent work experience is required, along with the ability to work flexible hours in a 24/7 environment.
Key skills
Claims processingMedical record reviewInsurance coverage verificationVeterinary medical history analysisCustomer communicationData entryAttention to detailTime managementProblem solvingDocumentation
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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.
HealthcareCustomer Service & SupportFinance & AccountingAdministrative
Description
Pumpkin, a subsidiary of IPH, offers premium accident & illness coverage and wellness plans for dogs and cats. Founded in 2020, our plans help families afford advanced diagnostics and treatments – from routine to critical care – so their pets can live longer, healthier lives.
Our nationwide team of 200+ pairs pet health expertise with purpose-built technology to make care without compromise possible. Pumpkin’s deep understanding of the science and finance of veterinary care makes us an asset to our more than 10,000 nationwide veterinary professional partners and is one reason we are trusted by nine out of ten surveyed veterinarians.
Our consumers love us, too. We are the #1-rated pet insurance brand on Google, have a 4.9-star rating on TrustPilot and are one of the fastest-growing pet health companies in the US. We have insured over 230,000 pets and paid more than $176 million in claims since launch. Pumpkin also offers PumpkinNow, the only urgent pay service that can pay pet parents for eligible claims before they pay vet bills — making it one of the fastest claims experiences in pet insurance. Beyond accidents and illnesses, Pumpkin Wellness Club provides preventive care plans that help pay for everything from routine vet visits to grooming.
At Pumpkin, we believe pet parenthood is parenthood. While life with pets looks different than raising human children, the responsibility, commitment, and love run just as deep. That belief is why we exist: to help parents choose the best care for their loved ones – without compromise.
Job Summary:
Pumpkin is seeking a Claims Adjuster Associate who will report to the Supervisor, Claims. The Claims Adjuster Associate 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.
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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 the department is open 24 hours a day and 7 days a week.
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.
Compensation:
Pay rate: $22.00 per hour. This is the rate we reasonably expect to pay at hire.
This position is non-exempt and eligible for overtime.
This position is eligible for a shift differential for overnight shifts.
Base pay is one part of a total rewards package that includes the benefits listed below.
#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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