Claims Manager

Fetch • New York, NY

8d • $75,000 - $85,000 • Remote

About The Position

In this remote role, you will be our people manager overseeing a team of 10-15 claim adjusters. The key skills required fall into two main categories: leadership and claims-specific expertise, which emphasize the ability to motivate, coach, and develop a team while maintaining high standards of claims handling.

Requirements

• Minimum of five years of experience as a veterinary technician.
• Property and Casualty Adjuster license in good standing preferred; ability to complete and pass state adjuster licensing.
• Reliable with good attendance.
• Able to work a minimum of 40 hours per week, with occasional weekends and extra hours as needed.
• Reliable high-speed internet connection (minimum 100 Mbps download and 30 Mbps upload speed).
• A quiet, dedicated workspace free from disruptions.
• Office workspace large enough for two 19” dual monitors, laptop, mouse, keyboard, and headset.
• Ability to set up and connect equipment shipped to your home (with instructions and remote IT support).

Nice To Haves

• Bachelor's degree in veterinary science, CVT, or equivalent preferred.

Responsibilities

• Manage the following job titles:
• Claims Processor: Entry-level adjusters who handle incoming emails, fast-track claims, wellness claims, and other tasks as assigned
• Claims Adjuster: Adjudicate claims according to policy terms, review medical records, process determinations, verify coverage, consult with veterinary practices, maintain quality assurance, and productivity
• Senior Claims Adjuster: Adjudicate claims according to policy terms, review medical records, process determinations, verify coverage, consult with veterinary practices, maintain quality assurance and productivity, participate in SOP creation, handle customer escalation calls, process first-line reassessments, and support other adjusters.
• Coaching and Mentoring: The ability to provide constructive feedback, identify individual strengths and weaknesses, and create development plans.
• Motivation and Empowerment: Inspiring the team to meet and exceed goals, fostering a positive and collaborative work environment, and empowering adjusters to take ownership of their work.
• Performance Management: Setting clear expectations and key performance indicators (KPIs), conducting regular performance reviews, and addressing performance issues in a timely and effective manner.
• Conflict Resolution: Mediating disputes between team members or with external parties and maintaining a respectful and professional atmosphere.
• Change Management: Guiding the team through new policies, procedures, or technology implementations with clear communication and support.
• Emotional Intelligence: Being able to understand and empathize with the team's challenges, especially in a high-stress environment like claims adjusting.
• Deep Claims Knowledge: A comprehensive understanding of the entire claims process, from initial reporting to final settlement.
• Regulatory Compliance: Knowledge of relevant insurance laws, regulations, and industry best practices.
• Analytical and Problem-Solving Skills: The ability to review complex claims, identify potential issues (like fraud or litigation risks), and guide the team toward appropriate solutions.
• Negotiation: Experience in negotiation is crucial for advising and supporting adjusters on difficult cases.
• Technical Proficiency: Familiarity with claims management software and other industry-specific tools.
• Attention to Detail: The ability to review claim files and ensure accuracy and thorough documentation.

Benefits

• Comprehensive Medical, dental, and vision plan for you and your family
• Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are available
• Highly competitive 401(k) matching
• Generous 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 days
• Paid company (9) holidays, including (1) floating holiday
• Fetch Pet Insurance discount - up to 50% off, up to $1,000 savings/year
• Educational Assistance Program
• Fetch Discount Perks Program
• Volunteering - earn up to 8 hours per calendar year at nonprofit organizations
• NYC Office Amenities: Pet-friendly environment, free lunch, snacks, and additional amenities; transit accessible
• Employee Referral Incentive
• Tuition Assistance
• Commuter Benefits
• Employee Assistance Program (EAP)

What This Job Offers

• Job Type: Full-time
• Career Level: Manager