Bilingual Representative, Claims (Petline Insurance)

This role involves adjudicating health claims in compliance with policy terms and conditions, providing expert guidance to cross-functional teams, and supporting customers and channel partners in claim submissions and adjudication.

Requirements

• Assess eligibility of claim conditions based on policy wordings
• Assess claims and requesting medical records for review in association with claims
• Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval
• Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers
• Provide support and guidance to veterinary practices through the Petline
• Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication
• Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score
• Draft customer correspondence and documents of insurance

Benefits

• Hybrid work schedule
• Company share ownership program
• Incentive Program
• Pension and savings programs
• Paid volunteer days
• Company matching on charitable donations
• Educational resources
• Tuition assistance
• Paid time off to study for exams
• Focus on inclusion
• Wellness and recognition programs
• Discounts on products and services