This position is located in Jeffersonville, Indiana.
PetFirst Pet Insurance is seeking a Vet Tech Claims Adjuster. This is your opportunity to take your veterinary medical experience from a clinical setting to an office environment!
The Vet Tech Claims Adjuster accurately reviews medical records and invoices, utilizing their understanding of pet health diagnoses and procedures, to evaluate coverage and equitably settle pet health insurance claims with respect to policy limits & terms. Communicates with the Insured, Veterinarian or Pet Adoption Agency to determine the details of the claim, requesting and verifying necessary documentation, and informs the Insured of claim status or claim outcome. Utilizes the workflow queues to perform job functions to include: claim entry/policy association, pre-adjudication, Insured/Veterinarian documentation requests, claim closeouts, claim appeals, and “good to go” claims processing.
Essential Duties and Responsibilities:
Adjudicates for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements
Follows adjudication policies and procedures to ensure proper payment of claims
Documents phone calls in system and follows up on issues if needed
Resolves problems resulting from claim adjudication
Prepares reports as required by management
Enters/receives inbound documents as assigned
Requests and communicates with Insureds, Veterinarians, or Adoption Agencies for clarification of diagnosis/additional information necessary to accurately process claim
Communicates claim status and claim outcome with Insureds
Procures and maintains adjuster’s license in all relevant states
Meets or exceeds goals and productivity levels set by management
Will perform all other duties as assigned by management
Essential Knowledge, Skills, and Abilities:
Strong understanding of veterinary medical terminology
Ability to operate in a fast-pace, multi-tasking environment with deadlines
Strong written, verbal, interpersonal, and phone communication skills
Articulate, professional, and possesses a strong quality customer service mindset with attention to detail
Strong computer background using MS Word, Outlook, Excel, and Internet
Ability to learn quickly (to include our proprietary CRM system for managing customers)
Excellent tracking, follow-up, and relationship building skills
Ability to identify problems and logically research with minimum assistance to locate answer through appropriate reference materials
Proven history of adherence to corporate policies, procedures, and guidelines
Proven Attendance Reliability
Beneficial Knowledge, Skills, and Abilities:
Vet Tech License
High school diploma or equivalency
Three years veterinary medical experience or equivalency preferred
Internal Number: 1
About PetFirst Pet Insurance
After our co-founder, Brent, had to put his dog Midnight down in 2003, he knew he wanted to find a way to help pet parents take financial considerations out of the conversations about veterinary care. Together with his friend and colleague Lansdon, they started PetFirst the next year in Jeffersonville, Indiana.Today, PetFirst is one of the fastest-growing pet health insurance administrators in North America, and we’ve helped tens of thousands of families purchase insurance coverage to pay for their pets’ veterinary care. We come to work every day excited to create compelling, helpful pet insurance products and services that offer a solution for every family. We try hard to bring the best policies on the market and continue to help find innovative solutions for the rising costs of veterinary care. It’s our mission to provide a product with financial and emotional value for every customer, associate, and partner. We think big and dream bigger, but our number one priority is doing right by our policyholders and their pets.