Pet Claims Adjuster/Examiner 1099 Independent Contractor

• Review individual policies to make an eligibility determination with a high degree of accuracy


• Contact veterinarians and clinic staff


• Ensure compliance guidelines are met and both internal policies, procedures and contractual commitments


• Work independently and with others in a virtual team setting


• Use PC-based programs to enter data into the claims system, communicate with leaders and teammates, and organize information.


• Create and issue claim decisions to policyholders using proper spelling, grammar, and punctuation in line with the policy terms


• Calculate invoice totals, discounts, and tax rates


• Be able to meet partners standards and metrics.

• High School Diploma or equivalent

• 5+ years of recent clinical veterinary experience (dog and cat) as a veterinary assistant, veterinary technician or veterinarian


• Property & Casualty Adjuster License required


• 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 navigate computer OS, Google Chrome and corresponding applications


• Ability to work independently and as part of a team in a virtual environment


• Demonstrable Microsoft Office proficiency: Work, PowerPoint, Excel, Outlook, Teams


• Excellent oral and written communication skills


• Strong mathematical and problem-solving skills


• Ability to pass background check


• Be able to work on weekends.

• Certified Veterinary Technician (CVT), Licensed Veterinary Technician (LVT) or Registered Veterinary Technician (RVT) (Min 5 years’ experience)


• Hands-on clinical experience within an emergency and/or specialty practice setting (examples include Oncology (medical +/-radiation), Ophthalmology, Internal Medicine, Neurology, and Cardiology)


• Previous processing of pet health insurance claims


• Bi-lingual (Spanish)

Special Requirements:

• Must possess a laptop computer and Microsoft Work and Exce