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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.
Job Responsibility:
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
Requirements:
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)
Nice to have:
Familiarity with ERP or CRM systems
Veterinary knowledge or experience evaluating medical records
What we offer:
medical, vision, dental, and life and disability insurance