Claims Operations Associate

Pumpkin

Pumpkin promises uncompromising care to the cats & dogs we love unconditionally. By helping prevent future health risks and ensuring access to gold-standard veterinary medicine and individualized support when it matters most–we aim to enable $1/2B in life-extending and life-saving treatment over the next five years.

How we’re making this happen:

Premium Insurance: Best-in-class coverage to enable the best, most advanced treatments and therapies when it matters most – without compromise

Innovative Wellness Plans: Personalized preventive care products designed with vets to prevent, reduce, and detect health risks earlier to extend quality of life

5-Star Experience: Concierge service & experience powered by pet experts and industry-leading technology to make decisions and providing care stress-free & frictionless

Mission-Driven Culture: We put pets’ best interests at the center of everything we do. We dream big and solve big problems. We embrace speed, agility, and fearlessness to jump the highest fences, dig new and bigger holes, and fight for the toys we believe in.

Pumpkin is looking for an ambitious and detail-oriented Claims Operations Associate who loves animals and believes pets are important members of a family. In this role, you will work closely with the claims leadership team to support our growing claims team to provide a smooth and frictionless customer experience.

This will be a fully remote position.

What You’ll Do

  • Coordinate requests for veterinary medical records from a team of claims adjusters
  • Make outbound requests for medical records via phone, e-mail, fax, mail, or via our claims management system
  • Interact with clinics & insured via email and phone to clarify and obtain the correct & accurate medical records needed as directed by members of the claims team
  • Index received medical records to the proper claims file and document claims files appropriately
  • Own process for generating claims that are received through email, mail, fax, or other channels
  • Primary responsibility for all correspondence received via email, mail, fax, or other channels
  • Process wellness claims independently and accurately
  • Efficiently use and provide feedback on tools, resources, and processes to support a highly productive team environment
  • Manage multiple requests, tasks, and stakeholders efficiently and effectively

What We’re Looking For

  • Experience in a veterinary medicine setting, especially as a veterinary technician, assistant, or equivalent
  • High School Diploma or equivalent
  • Accurate and efficient data entry skills, with the ability to input large volumes of information quickly and error free
  • Roll-up-your-sleeves mentality – does what it takes to get the job done
  • Proficiency in MS Excel and G-Suite tools is a must
  • Strong organizational skills, with the ability to attend to multiple concurrent tasks
  • Proactive in identifying problems and providing detailed solutions
  • Ability to learn quickly, take direction and work independently
  • Detail-oriented, adaptable, flexible, and able to accurately and successfully execute priorities and tasks to completion

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