Claims Processing Specialist

Independence Pet Group

73d

About The Position

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. Job Summary: Pets Best is seeking a Claims Processing Specialist who will report to the Manager, Claims. Claims Processing Specialists are responsible for reviewing invoices and pet medical documents and determining coverage in compliance with the current Underwriter’s policy.

Requirements

• High school diploma or equivalent
• 3+ years recent clinical veterinary experience (dog and cat) as a veterinary assistant, veterinary technician or veterinarian
• Knowledge of veterinary terms, abbreviations and conditions
• 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 work cross functionally with our internal and external resources
• Ability to handle multiple projects concurrently
• Ability to navigate Windows OS, Google Chrome, and corresponding applications
• Demonstrable Microsoft Office proficiency: Word, PowerPoint, Excel, Outlook, Teams
• Strong writing skills: organization, spelling, grammar and punctuation
• Strong mathematical and problem-solving skills

Responsibilities

• Review individual policies to make an eligibility determination with high degree of accuracy
• Contact with internal departments as well as veterinarians and clinic staff
• Ensure compliance guidelines are met with both internal policies and procedures and contractual commitments
• Work independently and with others on a virtual team
• Drive a 'Great Place to Work' culture, attend and participate in team meetings as well as engagement events
• Use PC based programs to enter data into claims system, communicate with leaders and teammates, and organize information
• Create and issue claim decisions to pet parents using proper spelling, grammar, and punctuation in line with the policy terms
• Calculate invoice totals, discounts, and tax rates
• Perform other duties and/or special projects as assigned

Benefits

• 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)

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees