Claims Processing Specialist jobs in United States
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Pets Best Insurance Services, LLC · 21 hours ago

Claims Processing Specialist

Pets Best Insurance Services, LLC is a part of Independence Pet Holdings, managing a diverse portfolio of pet health brands. The Claims Processing Specialist will review invoices and pet medical documents to determine coverage in compliance with the Underwriter’s policy.

Insurance

Responsibilities

Review individual policies to make an eligibility determination with high degree of accuracy
Contact with internal departments as well as veterinarians and clinic staff
Ensure compliance guidelines are met with both internal policies and procedures and contractual commitments
Work independently and with others on a virtual team
Drive a “Great Place to Work” culture, attend and participate in team meetings as well as engagement events
Use PC based programs to enter data into claims system, communicate with leaders and teammates, and organize information
Create and issue claim decisions to pet parents using proper spelling, grammar, and punctuation in line with the policy terms
Calculate invoice totals, discounts, and tax rates
Perform other duties and/or special projects as assigned

Qualification

Veterinary experienceVeterinary termsMedical records interpretationMicrosoft Office proficiencyMathematical skillsWork cross-functionallyHandle multiple projectsWindows OS navigationGoogle Chrome navigationWriting skillsProblem-solving skills

Required

High school diploma or equivalent
3+ years recent clinical veterinary experience (dog and cat) as a veterinary assistant, veterinary technician or veterinarian
Knowledge of veterinary terms, abbreviations and conditions
Knowledge of medical conditions and associated symptoms, procedures, treatments, secondary conditions and pharmaceuticals used in veterinary medicine
Knowledge of canine and feline breeds, anatomy and associated predispositions to illness
Ability to read and interpret medical diagnoses via medical records review both written and digital
Ability to work cross functionally with our internal and external resources
Ability to handle multiple projects concurrently
Ability to navigate Windows OS, Google Chrome, and corresponding applications
Demonstrable Microsoft Office proficiency: Word, PowerPoint, Excel, Outlook, Teams
Strong writing skills: organization, spelling, grammar and punctuation
Strong mathematical and problem-solving skills

Benefits

Comprehensive full medical, dental and vision Insurance
Basic Life Insurance at no cost to the employee
Company paid short-term and long-term disability
12 weeks of 100% paid Parental Leave
Health Savings Account (HSA)
Flexible Spending Accounts (FSA)
Retirement savings plan
Personal Paid Time Off
Paid holidays and company-wide Wellness Day off
Paid time off to volunteer at nonprofit organizations
Pet friendly office environment
Commuter Benefits
Group Pet Insurance
On the job training and skills development
Employee Assistance Program (EAP)

Company

Pets Best Insurance Services, LLC

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Pets Best provides peace of mind and financial relief for owners of pets who need veterinary care. We are always accessible to our policyholders.

Funding

Current Stage
Growth Stage

Leadership Team

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Dr Robin Downing
Knowledge Partner & Advocate
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Jack Stephens D.V.M.
Founder
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Company data provided by crunchbase