Appeals Resolution Specialist Jobs

Description

Independence Pet Group® (IPG) is one of North America’s largest pet insurance and services organizations. Our impressive family of brands (PetPartners, Figo, Pethealth, IAIC) supports insurance for more than 600,000 pets in the U.S. and Canada and provides well-being, safety, resources, and business solutions to the pet industry, including microchip identification and an online pet registry.

Job Summary:

Investigates, reviews, and assists in the resolution of complaints and appeals involving benefit coverage issues.

Job Location: Remote work is not available in AK, MT, HI (US) and Quebec, Nunavut, NW Territories, Yukon (Canada)

Main Responsibilities:

• Performs other duties and responsibilities as assigned.
• Prepares correspondence advising of appeal determination.
• Contacts veterinary clinics to secure medical records and discuss difficult cases with clinic staff. Logs and tracks complaints and appeals.
• Interprets previous claims decisions in compliance with terms, conditions and regulatory guidelines which may include reading/interpreting veterinary medical records and lab reports.
• May re-process claims requiring adjustment.
• Researches, reviews, and resolves reconsideration of previous claim determinations.

Qualifications:

• Adjusters License or must obtain within 90 days of hire
• Bachelor’s Degree or relevant work experience

Benefits:

All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:

• Personal Paid Time Off
• Employee Assistance Program (EAP)
• Basic Life Insurance at no cost to the employee
• 12 weeks of 100% paid Parental Leave
• On the job training and skills development
• Flexible Spending Accounts (FSA)
• Ten holidays and company-wide Wellness Day off
• 401(k) savings plan
• Company paid short-term and long-term disability
• Commuter Benefits
• Health Savings Account (HSA)
• Pet friendly office environment
• Comprehensive full medical, dental and vision Insurance
• Group Pet Insurance