Pet Claims Adjuster

Full Time
Akron, OH 44306
Posted
Job description
Crum & Forster Company Overview:
Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies.

With more than $3.1 billion in written premium as of 2020, C&F enjoys a financial strength rating of “A” (Excellent) by A.M. Best.

C&F
is proud of its superior customer service platform and its claims and risk engineering services are recognized as among the best in the industry.

Our most valuable asset is our people – 3000+ employees, and growing, in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning workplace and wellness awards.

C&F
is part of Fairfax Financial Holdings, a global organization with $19.8 billion in revenue.

For more information about Crum & Forster, please visit our website: www.cfins.com.
Job Description:
ASPCA® Pet Health Insurance, part of C&F Pet Insurance Group, is a member of the Crum & Forster Enterprise. As the fourth largest pet insurer and the second oldest, C&F Pet Insurance Group’s mission is to help pets across the nation live longer, happier, healthier lives. Our office is located in Akron, Ohio and is home to a full complement of departments and a team of highly skilled and diverse individuals. C&F Pet is a winner of the NorthCoast 99 Best Places to Work in NE Ohio, seven years running.

We feature a business casual, dog friendly work environment in a modern office space. We are always on the lookout for bright, hardworking people who want to join our team!

The Claims team largely works remote and has flexibility within their schedule.

Learn more: https://www.cfpetinsurance.com/about-us/careers/

Summary of Position:

The Claims Adjuster focuses on adjudicating claims in the queue and processes a minimum quota of claims.

Principal Duties & Responsibilities:

  • Process incoming claims based on established time-frames and goals utilizing company software. This includes researching policy limits to determine coverage eligibility, determining the necessity for medical records, as well as verifying coverage based on past claims history
  • Assist other processors and other departments within the company with claims related questions
  • Contact veterinary clinics to secure medical records and claim related information. Read and interpret veterinary medical records and lab reports
  • Provide accurate and adequate documentation of all client and veterinary communication
  • Research and review completed claims for accuracy and adjust any errors based on supervisor approval
  • Provide “best in class” customer service to our customers to discuss claims
  • Research and solve problems quickly and accurately; exercise sound independent judgment-make decisions that maintain the integrity of the company
  • Monitor queues to ensure goals are being met. Self-manage priorities and self-source resources
  • Accountable for prioritizing and completing multiple tasks under tight deadlines to meet/exceed performance metrics, including exemplary service. Ensure all policies and procedures are being adhered to
  • Readily adapt to change and integrate new knowledge, policies, procedures, and regulations in our fast-paced and constantly improving environment
  • Share expertise and their own best practices with peers
  • Perform other duties as assigned by supervisor
  • Operate standard office equipment/software including:
    • Multi-line telephone system
    • Excel/spreadsheet
    • PC/printer/calculator/copier/fax

Key Competencies:

  • Self-starter with the ability to work independently
  • Excellent oral and written communication skills
  • Ability to read veterinary medical records
  • Strong attention to detail
  • Ability to multi-task
  • Professional and courteous - maintain composure and approachability when dealing with the fast pace, constant interruptions and stressful conditions
  • Service oriented
  • Organized
  • Excellent telephone and email etiquette
  • Proofreading skills
  • Effective time management
  • Computer literacy
  • Problem-solving, independent judgement and critical thinking aptitude
  • Able to work in a fast paced environment and adaptable
  • Team orientation
  • Life-long learning - pursues opportunities for training to develop new skills and/or increase effectiveness

Requirements:
  • High School Diploma or equivalent required
  • Minimum of 2 year Veterinary Clinic experience or similar medical background with familiarity of breeds, pharmaceuticals, veterinary procedures, and terminology
  • Strong written and oral communication skills with internal and external audiences
  • Adjuster’s License required and maintained
  • Proficiency with MS Office
    • This position will require work and training to be completed in the office.
    • Must be willing to travel to the office as needed

Working Conditions:
Frequent sitting as well as the ability to move about all areas of the company’s building. May require some heavy lifting. Flexibility in scheduling. Regular and prompt attendance is essential. Must have the ability to interact as a professional with others and all external company contacts. Appropriate business casual attire required unless otherwise specified by management.

Monitoring Policy:
Employees who regularly communicate with customers or potential customers may have their telephone conversations and other forms of communication monitored by a member of management or designated assistant. Monitoring is used to identify and correct performance problems through targeted training. If at any time during the monitoring process a personal communication is identified, the monitoring will immediately be suspended; however you may be asked to continue your personal communication on non-business equipment and on personal time.

#LI-RT1
#LI-REMOTE
What C&F will bring to you:
  • Competitive compensation package
  • Generous 401K employer match
  • Employee Stock Purchase plan with employer matching
  • Generous Paid Time Off
  • Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
  • A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
  • A dynamic, ambitious, fun and exciting work environment
  • We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

At C&F you will BELONG

We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodation, please let us know.

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