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Europe 5w PTO

  • Review veterinary medical records, clinical notes, and policy information to evaluate claim eligibility and determine outcomes.
  • Apply policy language and guidelines consistently while conducting secondary claim reviews for the appeals process.
  • Communicate with pet owners, veterinary teams, and internal stakeholders via phone and email to deliver empathetic and professional claim decisions.

Customer Service Claims Adjudication Analytical Skills Communication

20 jobs similar to Claims Specialist

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US 4w PTO

  • Provide real-time support via phone, email, and chat across all partner channels.
  • Handle a high volume of inbound and outbound communications in a queue-based environment.
  • Troubleshoot technical and process-related issues, escalating when appropriate.

Trupanion is a leading provider of medical insurance for cats and dogs in North America. They offer a collaborative, casual, and pet-friendly environment where everyone is encouraged to be themselves.

Europe

  • Manage and resolve diverse customer and partner claims including logistics, billing, product, and contractual issues.
  • Coordinate returns, validate claims eligibility, and drive resolution within defined SLAs.
  • Track claim data, identify recurring issues, and support continuous process improvement.

Xometry powers the industries of today and tomorrow by connecting people with big ideas to the manufacturers who can bring them to life. As a publicly traded company (NASDAQ: XMTR), they operate a digital marketplace serving Fortune 1000 buyers and global manufacturers.

$90,000–$120,000/yr
US Unlimited PTO

  • Design and lead Vetcove's corporate accounts strategy to build long-lasting relationships with key veterinary hospital consolidators.
  • Position yourself as a strategic partner to stakeholders through comprehensive business reviews and on-site meetings.
  • Collect customer feedback to inform product development and adapt to market dynamics.

Vetcove modernizes veterinary software and pet healthcare with procurement, ecommerce, and practice management platforms. Over 25,000 hospitals use Vetcove daily; we are a fast-growing, mission-driven company backed by Y Combinator.

$20–$20/hr
US 4w PTO

  • Educate and support prospective customers through inbound warm leads, phone, and email interactions, building trust and recommending coverage.
  • Manage high inbound call volumes while balancing customer experience, efficiency, productivity, and individual sales goals.
  • Navigate multiple systems and tools to deliver a seamless customer experience, accurately documenting interactions in the CRM.

Trupanion is a leading provider of medical insurance for cats and dogs in North America, dedicated to helping pet owners care for their pets. The company fosters a collaborative, casual, and pet-friendly environment where team members are encouraged to be themselves.

US

  • Review and communicate lab results to clients using medical guidelines and AI interpretations.
  • Evaluate medication refill and new medication requests, coordinating with DVMs and pharmacies.
  • Manage client communication via Zendesk and collaborate with in-clinic teams for continuity of care.

Sploot Veterinary Care provides high-quality veterinary medicine with a focus on urgent care and general practice. The company fosters a team-first, collaborative culture with strong support and work-life balance.

$28,634–$47,724/yr
Canada

  • Conduct in-depth interviews encompassing lifestyle and medical questions to facilitate the underwriting process for insurance clients.
  • Utilize excellent interpersonal skills and tact when eliciting personal and medical information.
  • Manage workload efficiently with strong organization and time-management skills while respecting confidentiality.

Manulife is a leading international financial services provider that helps people make decisions easier and lives better. As a global company with a large workforce, they foster an inclusive work environment and are committed to diversity and employee well-being.

$23–$25/hr
US

  • Process medical claims by reviewing, validating, and entering data accurately and in compliance with policies.
  • Identify discrepancies, flag unusual cases, and escalate issues while maintaining productivity and quality standards.
  • Collaborate with peers, participate in training, and uphold confidentiality and regulatory requirements like HIPAA.

Sidecar Health is redefining health insurance by making excellent healthcare affordable and accessible for everyone. The passionate team, with backgrounds as tech leaders, policy makers, and healthcare professionals, is driven to fix a broken system and create a more personalized, affordable, and transparent experience.

US

  • Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
  • Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
  • Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.

Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.

US

  • Manage full-cycle DVM recruitment including sourcing, screening, and offer negotiation for assigned regions.
  • Partner with Regional Directors on hiring needs, maintain candidate pipelines, and update tracking systems.
  • Represent Heartland at networking events and career fairs, requiring 50-55% travel with peak periods in fall and spring.

Heartland Veterinary Partners elevates veterinarians and teams through operational support and economies of scale. The company fosters a Servant Leadership culture, investing in employee growth and professional development across its Support Center.

$32,363–$56,701/yr
US

  • Investigate and resolve auto physical damage and property damage claims in a timely manner.
  • Serve as primary customer contact, handling high volume calls and providing exceptional service.
  • Collaborate with team members and document claims activities accurately.

Mercury Insurance is a midsize insurance company dedicated to helping people reduce risk and overcome unexpected events. They have been recognized as one of America's Best Midsize Employers for 2025 and foster a collaborative, growth-oriented culture.

US

  • Investigate and resolve Homeowners claims of moderate complexity, documenting with photographs and estimates.
  • Perform field inspections at least 50% of work time, traveling to customers' homes for on-site evaluations.
  • Handle virtual claims using imagery and video technology to collaborate with vendors and insureds.

Mercury Insurance helps people reduce risk and overcome unexpected events through insurance products. With over 60 years of experience, the company fosters a collaborative culture with diverse perspectives and offers competitive benefits.

$75,000–$100,000/yr
US Unlimited PTO

  • Advise on Veterinary Workflows: Partner with product managers to provide expertise on veterinary clinic operations and workflows.
  • Lead Cross Functional Projects: Coordinate strategic projects across Product, Engineering, Customer Success and Operations.
  • Manage External Partnerships: Serve as the primary product contact for corporate veterinary groups, integration partners, and other third parties.

Vetcove modernizes the veterinary industry through a procurement marketplace, ecommerce, and practice management system. With over 25,000 hospitals using their platform, the company is a fast-growing, mission-driven organization backed by top investors.

$65,000–$100,000/yr
Canada

  • Analyze sales data to build account plans and execute sales tactics to increase product penetration and sales.
  • Conduct virtual customer meetings, training sessions, and seminars to generate demand and deliver sales results remotely.
  • Partner with sales leadership and marketing to implement customer initiatives and maintain CRM reporting.

Elanco is a global leader in animal health, dedicated to innovating and delivering products and services to prevent and treat disease in farm animals and pets. With nearly 70 years of heritage, the company fosters a diverse and inclusive work environment, driving innovation through dynamic individuals and new ways of thinking.

United States

  • Professionally respond to inquiries via phone, email, and chat to maximize brand reputation.
  • Own complex inquiries and account-level issues requiring judgment and cross-functional coordination.
  • Serve as a go-to resource for procedural questions, mentor new hires, and contribute to process improvements.

Integrated Specialty Coverages is a technology and data-driven commercial MGA and insurance wholesaler. Backed by private equity firm Onex Partners, the company is a growth-stage Insurtech with a digitally focused team.

Canada

  • Handle first notice of loss reports for non-complex auto and property claims while ensuring accurate information collection.
  • Provide exceptional customer service by guiding customers through their claim experience and explaining options clearly.
  • Work efficiently in a high-volume remote environment while maintaining accuracy and customer satisfaction.

The company provides insurance claims services and supports customers through the initial stages of their claims journey. The company culture emphasizes empathy, collaboration, and employee growth, with a focus on delivering high-quality customer service.

$18–$26/hr
US

  • Manage high-value medical claims, denials, and appeals to ensure accurate and timely reimbursement.
  • Analyze unpaid/underpaid claims, investigate billing errors, and communicate with insurance payors via portals, phone, and email.
  • Maintain detailed documentation, process updates, and collaborate with internal teams to resolve complex accounts receivable issues.

Our partner operates within the healthcare revenue cycle, ensuring accurate reimbursement for medical services. They are a collaborative team focused on improving financial outcomes and maintaining compliance with healthcare regulations.

$75,000–$90,000/yr
US Unlimited PTO

  • Act as main point of contact for client day-to-day communication and oversight
  • Craft agendas, host weekly meetings, and manage actions items for key accounts
  • Collaborate with cross-functional teams to communicate business initiatives and manage account performance.

Vetcove modernizes veterinary software and pet healthcare through a marketplace, ecommerce, and practice management platform. More than 25,000 hospitals rely on Vetcove daily, and it is a fast-growing, mission-driven company backed by Y Combinator and top venture investors.

$20–$34/hr
United States

  • Prepare and submit mortgage insurance and agency claims in accordance with applicable guidelines.
  • Conduct monthly audits and review exception reports to ensure data integrity and identify trends.
  • Support resolution of escalated issues, maintain process documentation, and assist training efforts.

Jobgether uses AI-powered matching to connect candidates with hiring companies. They process applications based on legitimate interest and offer remote work flexibility.

Germany

  • Act as central interface for mail and document management, processing fines, missing documents, and OEM recalls.
  • Handle authority requests independently, prioritizing by urgency and ensuring timely responses.
  • Optimize backlog through organized workflow and continuous ticket screening.

FINN is Germany's leading car subscription platform, making car access effortless and sustainable. With over 350 employees from 50+ nations, we're a fast-growing startup building the future of mobility.

US

  • Manage declaratory relief action claims from assignment through resolution, ensuring compliance with legal and internal standards.
  • Analyze complex insurance policies, litigation materials, and claim files to determine coverage positions and strategies.
  • Develop and implement litigation management plans while coordinating with outside counsel and monitoring legal expenses.

This company provides insurance and risk management solutions. It maintains a collaborative and inclusive workplace that values integrity, diversity, and continuous learning.