Job Title: Claims Adjuster Location: Fully Remote Duration: 3 months Assignment Shift/Hours: 40 hours per week, M-F. Start, and end times are flexible but typically 9-6 ET.
Job Description:
The Claim Adjuster is an individual contributor role responsible for successfully and compliantly adjudicating claims, meeting claim execution targets, and delivering a WoW! experience to our Pet Parents every day.
Responsibilities:
Adjudicating claims.
Meeting or exceeding daily claim targets.
Providing guidance, oversight, and final approval authority to non-licensed claims processors from GenPact, AdStrat, or Healthy Paws.
Obtaining and maintains advanced adjuster licenses according to state and municipality requirements.
Ensuring claims are compliantly processed and adjudicated following standard operating procedures and processes.
Identifying process improvement opportunities and implementing solutions.
Skills:
Be a licensed Claim Adjuster or have the experience to become a licensed Claim Adjuster within six months.
Property and Casualty License.
Ability to effectively communicate with pet parents.
Problem solving and decision-making skills.
Organizational and time management skills.
Basic IT skills - To be successful in this fully remote role, it’s important that they feel confident managing basic functions independently—such as attaching files to emails, editing shared documents, troubleshooting simple issues like screensharing, and knowing when to escalate tech concerns to the right person—since all job duties are conducted online.
MS Office Suite, Outlook, Word, Access, Power Point
Experience with ERP or CRM systems a plus.
Education and experience:
Veterinary knowledge or experience evaluating medical records a plus.
2+ years of customer service or call center experience.
High school diploma or equivalent work experience.
They will be managing one calendar with minimal invites (team meetings, 1:1s, etc.).
They will send both free form and templated emails in Salesforce, but the mechanism is similar between Outlook and Salesforce.
The ability to do Pivot Tables, Vlookups, or formulas is not necessary but would be an asset if they became FTEs. They will have minimal, if there is any, work in Excel.
They will have minimal use of Power point but would use existing slides.
Applicant Notices & Disclaimers
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 21.00/hr.
