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Pet Claims Analyst

pumpkin · 30+ days ago
Remote
Negotiable
Full-time
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Pumpkin promises uncompromising care to the cats & dogs we love unconditionally. By helping prevent future health risks and ensuring access to gold-standard veterinary medicine and individualized support when it matters most–we aim to enable $1/2B in life-extending and life-saving treatment over the next five years.

How we’re making this happen:
Premium Insurance: Best-in-class coverage to enable the best, most advanced treatments and therapies when it matters most – without compromise
Innovative Wellness Plans: Personalized preventive care products designed with vets to prevent, reduce, and detect health risks earlier to extend quality of life
5-Star Experience: Concierge service & experience powered by pet experts and industry-leading technology to make decisions and providing care stress-free & frictionless
Mission-Driven Culture: We put pets' best interests at the center of everything we do. We dream big and solve big problems. We embrace speed, agility, and fearlessness to jump the highest fences, dig new and bigger holes, and fight for the toys we believe in.

Pumpkin is looking for someone who is looking to take the next step in their pet claims career by joining our team as a pet claims analyst. This individual will have the primary responsibility for handling claims submitted for appeal by customers. In addition, this person will assist the claims management team as needed with claims QA, authority, and other duties as needed.

What You'll Do:

  • Handle low-medium complexity appeals submitted by customers on claims where coverage is in dispute.
  • Provide guidance, mentorship, and training support to pet claims adjusters.
  • Review and action requests for authority from adjusters.
  • Complete quality assurance audits on low-medium complexity open and closed claims files.
  • Collaborate with members of the claims management team to provide insight into claims processes, best practices, and to support the growth of the Pumpkin claims team.

What We're Looking For:

  • 2+ years as a veterinary medical professional or equivalent experience.
  • 1+ years of experience adjusting pet claims (DVM can substitute for Pet Claims Experience).
  • Current P&C adjuster license.
  • Excellent written and verbal communication skills.
  • Ability to work in a fast-paced startup environment.
  • Adaptable and willing to take on new challenges.

Bonus Points:

  • Previous experience handling claims appeals and/or claims file audits.
  • Previous leadership experience (not necessarily in claims)
The compensation for this position ranges from $21.00-$28.00 (hourly). Compensation may vary outside the listed range, based on a number of factors including but not limited to location, qualifications, performance, skills, and experience. The compensation range listed is just one component of Pumpkin’s total compensation package for employees. Total compensation packages, depending on the position, may also include incentive compensation, discretionary bonuses, and other short or long-term incentives. If hired, employees will be in an ‘at-will position’ and Pumpkin reserves the right to modify compensation (as well as any other discretionary payment or benefit program) at any time, including for reasons related to individual performance, company or individual department/team performance, and market factors.

Benefits and Perks:
Comprehensive contributions to medical, dental and vision for colleagues and dependents.
Generous PTO and Paid Holidays
401k with company match.
The opportunity to join a team where every team member has the autonomy and support they need to boss their role and make empowered decisions.
Pet Friendly Offices, Stocked Kitchens, Team Workouts, Team Outings and much more!

Pumpkin's Core Values:
Pets Come First: Put what’s best for pets at the center of everything we do
Trust the Pack: Help families make empowered pet care decisions
Jump Fences: If there’s a will, there’s always a way over them
Share Toys: Be generous with our gifts and amazing things will happen
Dig New Holes: Challenge conventions to create the future of pet health care

Pumpkin is proud to be an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or any other characteristic protected by federal, state or local laws.

Last updated on Sep 24, 2024

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