Representative, Petline Claims
About The Position
In this role, you will adjudicate pen health claims in compliance with the policy terms and conditions. You will also provide expert guidance to cross-functional teams to facilitate attainment of profitability targets. What can you expect in this role? Assess eligibility of claim conditions based on policy wordings Assess claims and requesting medical records for review in association with claims Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers Provide support and guidance to veterinary practices through the Vetline Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score Draft customer correspondence and documents of insurance
Requirements
- Animal Health Technologist (AHT) designation or equivalent combination of education and experience.
- Previous veterinary clinic experience.
- Bilingual and English-speaking candidates are welcome to apply
Responsibilities
- Assess eligibility of claim conditions based on policy wordings
- Assess claims and requesting medical records for review in association with claims
- Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval
- Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers
- Provide support and guidance to veterinary practices through the Vetline
- Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication
- Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score
- Draft customer correspondence and documents of insurance
Benefits
- Hybrid work schedule for most roles
- Company share ownership program
- Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.
- Pension and savings programs, with company-matched RRSP contributions
- Paid volunteer days and company matching on charitable donations
- Educational resources, tuition assistance, and paid time off to study for exams
- Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
- Wellness and recognition programs
- Discounts on products and services
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
1-10 employees
