Pet Claims Processor - CA Property & Casualty Adjuster License Required

Posted 2025-03-14
Remote, USA Full-time Immediate Start

The Pet insurance Industry is growing. Are you an experienced Pet Insurance Claims Examiner/ Adjuster looking to further your skills while working from home? Join the AdStrat Team!

AdStrat has partnered with some of the premier pet insurance providers in the U.S. to assist in processing claims. We are looking for dedicated individuals who would like to work from home in an exciting opportunity that utilizes their pet insurance claims processing skills.

This is a 1099 position full time temp position. Experience with clinical veterinary, vet tech experience & medical terminology and a California P&C license is required.

Schedule:

The schedule will be Monday ? Friday, with the possibility of weekend work.

Role Summary/Purpose:

This position reviews invoices and pet medical documents and determines coverage in compliance with the policy.

Essential Responsibilities: ? Review individual policies to make an eligibility determination with a high degree of accuracy ? Contact with veterinarians and clinic staff ? Ensure compliance guidelines are met with both internal policies and 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

Qualifications/Requirements: ? 5+ years of recent clinical veterinary experience (dog and cat) as a veterinary assistant, veterinary technician or veterinarian ? CA Property & Casualty Adjuster License Required ? 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 navigate computer 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

Recommended but not Required:
? Certified Veterinary Technician (CVT), Licensed Veterinary Technician (LVT) or Registered Veterinary Technician (RVT)
? 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
? P&C Adjuster License
? Bi-lingual abilities.

About Us

AdStrat is a claims servicing firm established in 2010, and we believe that Together we Make a Difference. Our teams and clients work together to make a difference and rebuild the lives of policyholders who have experienced a loss. We do this by making sure everyone on our team lives our core values:
? We are one team: We work together to accomplish remarkable things.
? We do the right thing: We act with integrity and honesty in all interactions.
? We Care: We care for each other, our partners, policyholders, our business, and our world.
? We Deliver: Clients trust us to build things that work, and we take that seriously. With our ?can do? spirit, our team will overcome obstacles, find solutions, and deliver exceptional results.
? We Welcome Everyone: We actively foster an environment of diversity, inclusion, and respect for others.

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