We are looking for a dedicated Claims Adjuster to join our team in a fully remote capacity. This long-term contract role involves adjudicating claims efficiently and ensuring compliance with established processes while delivering exceptional service to pet owners. The ideal candidate will bring strong organizational skills, a customer-focused mindset, and a commitment to meeting performance targets.<br><br>Responsibilities:<br>• Review and process claims in accordance with established procedures and compliance standards.<br>• Ensure claims meet or exceed daily adjudication goals to maintain workflow efficiency.<br>• Provide guidance and oversight to non-licensed claims processors, ensuring accuracy and adherence to regulations.<br>• Obtain and maintain advanced adjuster licenses as required by state and local guidelines.<br>• Identify opportunities for process improvement and contribute to implementing effective solutions.<br>• Communicate effectively with pet owners to address inquiries and provide clarity on claims.<br>• Document claim decisions and maintain accurate records in compliance with organizational policies.<br>• Collaborate with cross-functional teams to ensure claims are resolved in a timely and efficient manner.<br>• Stay updated on industry regulations and best practices to ensure compliance.<br>• Utilize tools such as Microsoft Office Suite to support claims processing tasks.

• Must be a licensed Claims Adjuster or possess the ability to obtain licensure within six months.<br>• Property and Casualty License is required.<br>• Strong communication skills with the ability to interact effectively with customers.<br>• Proven problem-solving and decision-making abilities.<br>• Excellent organizational and time management skills.<br>• Proficiency in Microsoft Outlook, Word, and PowerPoint; familiarity with Excel is a plus.<br>• Prior experience in customer service or call center environments, with at least 2 years of relevant experience.<br>• Veterinary knowledge or experience reviewing medical records is a significant advantage.

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