Analyst, Claims-Pet (Veterinary Technician) Remote

If you're passionate about helping a Fortune 100 company drive their strategy forward through innovative product development and advancing strategic partnerships to protect customers (and their pets), then Nationwide's Strategy and Corporate Development Office might be the place for you!Would you get a sense of satisfaction by providing exceptional service to resolve issues and uncover solutions that help protect our customers’ pets when they most need us? Can you apply your veterinary medical expertise to claims handling and adjudication? If this sounds like a great opportunity, we want to know more about you!
As an Analyst, you'll handle new and pending medical claims by requesting, compiling and reviewing coverage and media information to promptly and effectively determine the correct claim adjudication action. We'll count on you to enter accurate coding information in the system ensuring that the submitted invoice balances with the system input information to complete the claim adjudication process.

• Requests, reviews and evaluates requested medical records or treatment notes for determination of resolving claims.
• Identifies and advises management of questionable claims and questionable risks.
• Processes all new and pending medical claims according to the appropriate workflow. Reviews veterinary diagnosis and codes claims according to policy provisions. Ensures completion of claims by coding and processing or sending claims to appropriate workflow.
• Determines coverage (i.e., pre-existing conditions, breed-specific and/or hereditary conditions) and approves benefits and eligibility of each claim based on the terms and conditions of the policy.
• Accurately processes claims based on established criteria, provider contract plan and employer group provisions.
• Ensures proper documentation in compliance with company policies and practices. Records the final disposition of claims, including denial and/or issuing payment.

#claimsSmoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at 888-944-2247.
For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov)Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range.The national salary range for Analyst, Claims - Pet : 42,315.00-75,500.00The expected starting salary range for Analyst, Claims - Pet : 42,315.00 - 60,800.00