Job Description
Job Description:
Summary:
The Claim Adjuster is an individual contributor role responsible for successfully and compliantly adjudicating claims, meeting claim execution targets, and delivering a WoW! experience to our Pet Parents every day.
Responsibilities:
Adjudicating claims
Meeting or exceeding daily claim targets
Providing guidance, oversight, and final approval authority to non-licensed claims processors from GenPact, AdStrat, or Healthy Paws
Obtaining and maintains advanced adjuster licenses according to state and municipality requirements
Ensuring claims are compliantly processed and adjudicated following standard operating procedures and processes
Identifying process improvement opportunities and implementing solutions
Skills:
Be a licensed Claim Adjuster or have the experience to become a licensed Claim Adjuster within six months
Property and Casualty License
Ability to effectively communicate with pet parents
Problem solving and decision-making skills
Organizational and time management skills
Basic IT skills - To be successful in this fully remote role, it's important that they feel confident managing basic functions independently-such as attaching files to emails, editing shared documents, troubleshooting simple issues like screensharing, and knowing when to escalate tech concerns to the right person-since all job duties are conducted online.
Outlook
Word
Access
Power Point
Experience with ERP or CRM systems a plus
Education and experience:
Veterinary knowledge or experience evaluating medical records a plus
2+ years of customer service or call center experience
High school diploma or equivalent work experience
1. They will be managing one calendar with minimal invites (team meetings, 1:1s, etc.). They will send both free form and templated emails in Salesforce, but the mechanism is similar between Outlook and Salesforce.
2. The ability to do Pivot Tables, Vlookups, or formulas is not necessary but would be an asset if they became FTEs. They will have minimal, if there is any, work in Excel.
3. They will have minimal use of Power point but would use existing slides.
Job Tags
Work experience placement, Remote work,
Similar Jobs
Limitless Learning Co
...Experienced Teachers/Remote Dallas Company: Limitless Learning Co. About Us Limitless Learning Co. is a global eLearning company... ...assistance and peer support to new team members through online meetings. Participate in live virtual training sessions and...
Medium
...Our company has moved to 100% virtual, work-from-home positions. This position allows you to build your career around your life, rather... ...and drive to succeed What You Can Expect: ~ Flexible schedule ~100% Remote position ~ Weekly trainings led by top leaders...
NORMA Group Holding GmbH
...journey from good to great. JOB DESCRIPTION Inventory Distribution Coordinator Department: Inventory & Distribution... ...inventory from our manufacturing facility to various distribution centers locations. Your primary goal will be to optimize inventory levels...
Ballast Point Brewing
...throughout the Bay Area. Candidates must have strong sales experience, excellent communication skills, and a deep knowledge of craft beer. You will be responsible for building relationships with retailers, executing sales strategies, and participating in promotional...
Maverik, Inc.
...At Maverik, we dont just offer jobs, we offer adventures. The Category Manager owns the performance, growth, and profitability of assigned product categories. This role blends strategic planning with hands-on execution from pricing and promotions to vendor partnerships...