Licensed Claims Processing Specialist

Job Summary

A company is looking for a Claims Processing Specialist who will be responsible for reviewing invoices and pet medical documents to determine coverage in compliance with policy.

Key Responsibilities

• Review individual policies to make eligibility determinations with high accuracy
• Ensure compliance with internal policies and contractual commitments while communicating with internal departments and veterinary staff
• Create and issue claim decisions to pet parents, calculating invoice totals and discounts

Required Qualifications

• 6+ years of recent clinical veterinary experience as a veterinary assistant, technician, or veterinarian
• Knowledge of veterinary terms, medical conditions, and associated treatments
• Ability to read and interpret medical diagnoses from records
• Demonstrable proficiency in Microsoft Office applications
• 65 WPM