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
Cox Media Group
...Cox Media Group Jacksonville has a great opportunity for an entry-level Studio Technician. When the news is happening, we are at work... ...exceptional team members. CMG provides valuable local and national journalism and entertainment content to the people and communities it...
Express Employment Professionals - Miami-Dade (South)
...Housekeeping Specialist, youll be a key part of delivering comfort, cleanliness, and care. What Youll Do Thoroughly clean and sanitize guest rooms, bathrooms, and public areas. Refresh rooms by changing linens and towels; restock amenities and supplies....
Capital Machine
...Machine and Modern Machinery Company are now hiring for a Marketing Specialist as a full-time job in Tampa, FL. Relocation available. The... ...and Service. This includes everything from event promotion, email marketing, and paid ads to service-focused inbound content...
Funnel Boost Media
...Salary: $50,000 - 60,000 per year Requirements: Proficiency in WordPress, PHP, HTML, CSS, and JavaScript Sound understanding of web... ...Capacity to work collaboratively with a diverse team of developers and designers Experience with AWS is a significant advantage...
Little Friends Pet Sitting & Dog Walking, LLC
...need. Also actually building a friendship and bond with all the pets is amazing." What do we look for? Our team members are huge animal lovers and they range from people with full-time jobs who love squeezing in some animal time before and after their 9-5 to full-...