Analyst - Claims Adherence

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Trupanion

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insurance • pet insurance • pet health insurance • big data • dog insurance

1001 - 5000 employees

Founded 2000

👥 B2C

🧘 Wellness

💰 $60M Post-IPO Equity on 2020-11

Description

• Conduct accurate and timely reviews of high-risk situations requiring impartial and unbiased investigations • Provide recommendations to support consistent claims adjudication and ensure fair, equitable outcomes, with a focus on claims-related insurance fraud • Understand and translate complex data into meaningful actions and clear communications • Assist in risk mitigation reviews, including fraud investigations, and making informed recommendations to prevent, intercept, and mitigate fraud • Interpret and apply insurance policies to claims • Extract, interpret, and convert raw data into plain language and formal written report recommendations • Provide exceptional customer service to members, hospitals, and internal teams at Trupanion • Assist with internal and external audits of all Trupanion-administered products

Requirements

• Licensed Veterinary Technician credentials preferred, or equivalent experience in a veterinarian clinic • Currently licensed or ability to obtain property and casualty adjuster license in Canada and/or the United States • 3+ years of experience related to P&C (Property and Casualty) or pet insurance • Veterinary technician or assisting experience in a clinic/hospital environment is a plus • Education or certification in insurance operations, insurance fraud detection and investigation, or risk management is a plus • Knowledge of veterinary practice operations and medicine, including medical terminology and conditions • Strong desire to contribute to an evolving team with shared goals around group performance • Ability to work creatively and adapt to shifting processes and goals • Desire to collaborate and help develop a wide variety of processes over time • Knowledge of Trupanion policies • Proficiency with Microsoft Office applications and Trupanion applications • Effective communicator (written and spoken) • Problem-solving skills in high-pressure situations • Strong attention to detail • Ability to work both independently and as part of a team

Benefits

• Employer-paid extended health coverage for you and your family • Trupanion will partner with Wealthsimple to register your RRSP, pension, etc. • Four weeks of paid time off and 11 paid float holidays (you can decide which days are most important to you!) • Five weeks, paid, sabbatical after five years of employment • Employer-paid medical insurance for one pet (cat or dog) • Paid time off to volunteer at nonprofit organizations • Open, casual, pet-friendly, and fun work environment