Claims Specialist

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Trupanion

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2000

👥 B2C

🧘 Wellness

💰 $60M Post-IPO Equity on 2020-11

Insurance • B2C • Wellness

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 potentially 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 that enhance claims processes, workflows, and customer experience

🎯 Requirements

• Professional working proficiency in English required • Professional fluency in German or 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

🏖️ Benefits

• 25 holiday leave days. • Five-week sabbatical after five years of employment • Medical Insurance for a cat or dog • Medical Conierge (Summus) • Lifestyle Spending Account (LSA) • Family Planning (Carrot) • Employee Assistance Program • Open, casual, pet-friendly, and fun office environment