PetPartners is seeking a Claims Adjuster- Associate who will report to the Supervisor, Claims. The Claims Adjuster- Associate is responsible for investigating, evaluating, and settling insurance claims, determining policy coverage for the claimed loss and appropriate compensation amount.
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The CCA Claims Specialist is responsible for analyzing, managing, and investigating complex and high-dollar healthcare claims that require in-depth research to determine accuracy and mitigate payment errors. This position collaborates with internal stakeholders, assists with claim audits (internal and regulatory) and utilizes strong analytical skills and independent judgement skills to make effective and accurate decisions.
This position has overall executive management responsibility for the claims function. The VP of Claims affects our company top to bottom; leading on best practices, outcomes, innovation, data analysis, and people will allow us to create best outcomes for our clients and offer a great customer experience. This role is responsible for the overall direction of claims management and practices of the company.