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Role Description

Pumpkin is seeking a Claims Processor who will report to the Supervisor, Claims. The Claims Processor is responsible for investigating, evaluating, and settling insurance claims. This role also determines policy coverage for the claimed loss and appropriate compensation amount.

• Works closely with veterinary hospitals and policyholders to evaluate and review a pet’s medical history to determine a baseline of health.
• Investigates and processes assigned insurance claims, verifies coverage, and compensation amounts, per insurance policy.
• Updates Explanation of Benefits (EOB), pays and closes claim.
• May order medical records from providers.
• May communicate with clients and providers during treatment.
• Performs other duties and responsibilities as assigned.

Qualifications

• 1 year relevant experience working in a veterinary clinic
• Education: Must meet one of the following requirements:
  • Associate’s Degree or equivalent work experience (One-year relevant experience is equivalent to one year college); or
  • Certified Veterinary Technician (CVT)
  • Registered Veterinary Technician (RVT)
• Must have flexible availability as schedule may include evenings, overnights, and weekends.
• Only United States residents will be considered for this role

Requirements

• This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director.

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)