Claims Specialist

🔥 16 hours ago

🌐 Germany, Switzerland – Remote

🇩🇪 Germany – Remote 🇨🇭 Switzerland – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Trupanion

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2000

🏥 Healthcare

📣 Marketing

🛡️ Insurance

💰 $60M Post-IPO Equity on 2020-11

Healthcare • Marketing • Insurance

Trupanion is a leading provider of pet insurance, offering comprehensive coverage for dogs and cats. With over 25 years in the industry, Trupanion provides unlimited payout plans and real-time payment at checkout through its VetDirect Pay™ system, ensuring pets receive immediate care without financial stress for the owners. Trusted by over a million pet parents and veterinarians, Trupanion is known for its extensive coverage that includes hereditary conditions, advanced dentistry, allergies, and more. The company emphasizes ease of use with a 24/7 customer service line and a commitment to helping pets through every stage of life.

📋 Description

• Review veterinary medical records, clinical notes, invoices, and policy information to evaluate claim eligibility and determine claim outcomes • Apply policy language, claims guidelines, and established processes consistently and accurately • Conduct secondary claim reviews as part of the appeals process and communicate claim rationale clearly and professionally • Investigate complex claim scenarios by gathering, validating, and interpreting relevant medical and policy information • Identify missing or incomplete information and proactively obtain required documentation from veterinary clinics, specialists, or pet owners • Communicate with veterinary professionals, pet owners, and internal teams via phone and email regarding claim decisions, status updates, and policy questions • Deliver an efficient, empathetic, and positive experience for pet owners and veterinary partners during sensitive situations • Maintain accurate records and documentation within multiple internal systems • Collaborate with cross-functional teams to support operational excellence and continuous improvement initiatives • Contribute ideas and feedback to enhance claims processes, workflows, and customer experience

🎯 Requirements

• Professional working proficiency in English required • Professional fluency in German required • Professional fluency in French required • 2+ years of experience in a customer-facing veterinary, animal health, pet insurance, or related environment • Strong understanding of veterinary medical terminology, common conditions, treatments, and diagnostic procedures • Experience working directly with clients or pet owners in a veterinary clinic, hospital, or animal health setting is highly preferred • Experience reviewing medical records, supporting patient care, claims adjudication, or insurance operations is considered an asset • Demonstrated ability to learn and navigate multiple systems, processes, and technologies • Proficiency with Microsoft Office applications and other business software • Strong analytical thinking and problem-solving abilities • Excellent attention to detail with a high degree of accuracy and consistency • Ability to assess complex information, identify key details, and make sound decisions • Exceptional written and verbal communication skills • Strong customer focus with empathy and professionalism in challenging situations • Ability to manage multiple priorities and work efficiently across various systems • Adaptability and resilience in a dynamic, evolving environment • Self-motivated with the ability to work independently while contributing to a collaborative team culture • Proactive mindset with a commitment to continuous learning and improvement • Reliable and stable internet connection through hard-wire Ethernet • Flexibility to start as early as 07:00, work until 19:00, and work on Saturdays

🏖️ Benefits

• Monthly bonuses based on individual and company goals • Restricted Stock Units, which vest over 4 years (may be provided) • 25 holiday leave days • Five-week sabbatical after five years of employment • Medical Insurance for a cat or dog • Medical Concierge (Summus) • Lifestyle Spending Account (LSA) • Family Planning (Carrot) • Employee Assistance Program • Open, casual, pet-friendly, and fun office environment • Reasonable accommodation for the application/interview process, essential job functions, and benefits and privileges of employment