Bilingual Representative, Claims (Petline Insurance)

Petline Insurance Company is a part of Definity, which aims to be a leading innovative property and casualty insurer in Canada. In this role, you will adjudicate health claims, provide guidance to cross-functional teams, and support customer inquiries while ensuring compliance with policy terms.

Responsibilities

• Assess eligibility of claim conditions based on policy wordings
• Assess claims and requesting medical records for review in association with claims
• Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval
• Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers
• Provide support and guidance to veterinary practices through the Petline
• Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication
• Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score
• Draft customer correspondence and documents of insurance

Skills

• Animal Health Technologist (AHT) designation or equivalent combination of education and experience
• Must be bilingual in English and French: A high level of proficiency in English is required to effectively support internal and external clients across Canada
• Previous veterinary clinic experience
• This role requires successful clearance of background checks (including criminal checks and leadership references)
• An AMF license is beneficial but not mandatory

Benefits

• Hybrid work schedule for most roles
• Company share ownership program
• Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.
• Pension and savings programs, with company-matched RRSP contributions
• Paid volunteer days and company matching on charitable donations
• Educational resources, tuition assistance, and paid time off to study for exams
• Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
• Wellness and recognition programs
• Discounts on products and services

Company Overview