Job Description

Claims Adjuster Remote

Join our team to support a leading pet insurance organization as a Claims Adjuster. This is a fully remote role offering the opportunity to help pet parents by efficiently managing, adjudicating, and finalizing insurance claims. We are looking for detail-oriented individuals who value accuracy, organization, and clear communication.

Key Responsibilities:

• Adjudicate insurance claims in a timely and compliant manner, adhering to standard operating procedures.
• Consistently meet or exceed daily claims targets.
• Provide guidance, oversight, and final approval authority to non-licensed claims processors (GenPact, AdStrat, or Healthy Paws).
• Maintain active adjuster licenses as required by state and municipal regulations.
• Identify and recommend process improvements to enhance the claims workflow.
• Ensure all claims are processed according to compliance and quality standards.

Required Skills:

• Active Property & Casualty Adjuster License, or the experience and aspiration to obtain licensing within six months.
• Experience in claims review and adjudication.
• Ability to clearly communicate with pet owners in writing and over the phone.
• Strong decision-making and problem-solving abilities.
• Excellent organizational and time management skills.
• Confidence with basic IT tasks in a remote environment: attaching files to emails, editing documents, screensharing, and escalating technical issues as needed.
• Experience with Microsoft Outlook, Word, Access, PowerPoint (primarily using existing slides).
• Familiarity with ERP or CRM systems is a plus.

Preferred Education & Experience:

• High school diploma or equivalent work background.
• Two years of experience in customer service or a call center environment.
• Veterinary knowledge or experience evaluating medical records is a plus.

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