Claims Adjudication Specialist

Company Description

Trupanion is a leading provider of medical insurance for cats and dogs in North America. Our mission is to help the pets we all love receive the veterinary care they need. At Trupanion, we offer a collaborative, casual, and pet-friendly environment where everyone is encouraged to be themselves.

Job Description

Position Summary:

Claims Adjudication Specialists are responsible for reviewing information gathered from medical records, claim forms, and related invoices, making claim outcome (eligible/ineligible) decisions, and communicating those outcomes to customers via email and phone. In addition, Claims Adjudication Specialists will provide an exceptional member experience to existing customers and veterinary clinics related to the claims they review.

At Trupanion, we believe in a flexible workplace! We know that dedicated pet-loving professionals are everywhere. This is a remote position open to candidates anywhere in the US. If you enjoy a mix of on-site and remote work, you may choose to have a hybrid schedule in our Seattle office.

Schedule

This is a set shift of Tuesday - Saturday from 11:00 a.m. PST to 7:30 p.m. PST.

Key Responsibilities Include:

• Review medical records to make claim outcome decisions against received invoice(s) as aligned with the Trupanion policy
• Enter data from medical records into the database
• Contact members regarding claim assessment and status (phone/email) as applicable
• Respond to calls/emails from veterinary clinics/members/Trupanion employees/Territory Partners
• Achieve and maintain a high level of claim accuracy and productivity
• Ability to provide an expeditious and delightful member experience

Qualifications

Experience:

• The ideal candidate will have an extensive understanding of veterinary medical terminology and medical conditions
• Three-plus years working in a clinical environment
• At least one year of experience providing customer service over the phone
• Strong preference is given to candidates with five or more years in a clinic environment and/or licensed technician credentials
• French bilingual skills are a plus!

Skills, Knowledge & Abilities:

• Enjoys a challenge
• Possesses strong problem-solving skills
• Proficiency with Microsoft Office applications and PC
• Ability to keep pace with weekly changes of processes or protocol with immediate implementation
• Efficiency multitasking at high speed while maintaining excellent attention to detail and accuracy
• Independent and self-motivated work ethic

Compensation:

• The pay for this position is $20.89 an hour, on a full-time schedule. Along with the hourly pay, Trupanion employees may be eligible for uncapped monthly bonuses based on individual performance.
• We want all employees to be invested in Trupanion’s success, so we grant Restricted Stock Units to all new team members. Our new hire grants vest over 4 years.

Additional Information

Benefits and Perks:

• Full medical, dental, and vision benefits at no cost to the employee
• Four weeks of paid time off and 9 paid float holidays (you can decide which days are most important to you!)
• Five-week sabbatical after five years of employment
• Open, casual, pet-friendly, and fun office environment
• Free medical health insurance for your pet (1 dog or cat)
• Paid time off to volunteer at nonprofit organizations
• Seattle Office Amenities: Free on-site gym, free dog walking services for office pets during business hours, free parking, and paid ORCA cards.

For more information about Trupanion, visit https://trupanion.com/about

Learn more about how Trupanion has revolutionized our industry and the reimbursement model: https://www.youtube.com/watch?v=vdWZ4KHiPTQ

Trupanion is an equal-opportunity employer and embraces diversity. We are committed to building a team that represents a variety of backgrounds, abilities, perspectives, and skills.

We will ensure that individuals are provided reasonable accommodation to participate in the job application or interview process, perform essential job functions, and receive other benefits and privileges of employment. Please contact us to request accommodations.