Pet Claims Analyst
Remote
Pumpkin promises uncompromising care to the cats & dogs we love unconditionally. By helping prevent future health risks and ensuring access to gold-standard veterinary medicine and individualized support when it matters most–we aim to enable $1/2B in life-extending and life-saving treatment over the next five years.
How we’re making this happen:Premium Insurance: Best-in-class coverage to enable the best, most advanced treatments and therapies when it matters most – without compromiseInnovative Wellness Plans: Personalized preventive care products designed with vets to prevent, reduce, and detect health risks earlier to extend quality of life5-Star Experience: Concierge service & experience powered by pet experts and industry-leading technology to make decisions and providing care stress-free & frictionlessMission-Driven Culture: We put pets' best interests at the center of everything we do. We dream big and solve big problems. We embrace speed, agility, and fearlessness to jump the highest fences, dig new and bigger holes, and fight for the toys we believe in.
Pumpkin is looking for someone who is looking to take the next step in their pet claims career by joining our team as a pet claims analyst. This individual will have the primary responsibility for handling claims submitted for appeal by customers. In addition, this person will assist the claims management team as needed with claims QA, authority, and other duties as needed.
Pumpkin's Core Values:Pets Come First: Put what’s best for pets at the center of everything we doTrust the Pack: Help families make empowered pet care decisionsJump Fences: If there’s a will, there’s always a way over themShare Toys: Be generous with our gifts and amazing things will happenDig New Holes: Challenge conventions to create the future of pet health care
Pumpkin is proud to be an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or any other characteristic protected by federal, state or local laws. Apply
How we’re making this happen:Premium Insurance: Best-in-class coverage to enable the best, most advanced treatments and therapies when it matters most – without compromiseInnovative Wellness Plans: Personalized preventive care products designed with vets to prevent, reduce, and detect health risks earlier to extend quality of life5-Star Experience: Concierge service & experience powered by pet experts and industry-leading technology to make decisions and providing care stress-free & frictionlessMission-Driven Culture: We put pets' best interests at the center of everything we do. We dream big and solve big problems. We embrace speed, agility, and fearlessness to jump the highest fences, dig new and bigger holes, and fight for the toys we believe in.
Pumpkin is looking for someone who is looking to take the next step in their pet claims career by joining our team as a pet claims analyst. This individual will have the primary responsibility for handling claims submitted for appeal by customers. In addition, this person will assist the claims management team as needed with claims QA, authority, and other duties as needed.
What You'll Do:
- Handle low-medium complexity appeals submitted by customers on claims where coverage is in dispute.
- Provide guidance, mentorship, and training support to pet claims adjusters.
- Review and action requests for authority from adjusters.
- Complete quality assurance audits on low-medium complexity open and closed claims files.
- Collaborate with members of the claims management team to provide insight into claims processes, best practices, and to support the growth of the Pumpkin claims team.
What We're Looking For:
- 2+ years as a veterinary medical professional or equivalent experience.
- 1+ years of experience adjusting pet claims (DVM can substitute for Pet Claims Experience).
- Current P&C adjuster license.
- Excellent written and verbal communication skills.
- Ability to work in a fast-paced startup environment.
- Adaptable and willing to take on new challenges.
Bonus Points:
- Previous experience handling claims appeals and/or claims file audits.
- Previous leadership experience (not necessarily in claims)
Benefits and Perks:
- Comprehensive contributions to medical, dental and vision for colleagues and dependents.
- Generous PTO and Paid Holidays
- 401k with company match
- Pumpkin Insurance and preventative care for every pet in your family
- The opportunity to join a team where every team member has the autonomy and support they need to boss their role and make empowered decisions
- Pet Friendly Offices, Stocked Kitchens, Team Workouts, Team Outings and much more!
Pumpkin's Core Values:Pets Come First: Put what’s best for pets at the center of everything we doTrust the Pack: Help families make empowered pet care decisionsJump Fences: If there’s a will, there’s always a way over themShare Toys: Be generous with our gifts and amazing things will happenDig New Holes: Challenge conventions to create the future of pet health care
Pumpkin is proud to be an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or any other characteristic protected by federal, state or local laws. Apply
Job Profile
Benefits/Perks401(k) match 5-star experience Concierge service Dental Generous PTO Innovative wellness plans Medical Mission-driven culture Pet Insurance Premium insurance PTO Team outings Vision
Tasks- Collaborate with claims management
- Complete quality assurance audits
- Handle claims appeals
- Provide guidance to adjusters
Adaptability C Claims adjusting Collaboration Communication Leadership Mentorship Quality Assurance Veterinary Medicine
Experience2 years
Education Certifications
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