Claims/Appeals Reviewer - Associate

Established in 2021, Independence Pet Holdings (IPH) is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.

We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.

Job Summary:

PetPlace is seeking a Claims/Appeals Reviewer- Associate who will report to the Supervisor, Operations Documentation. The Claims/Appeals Reviewer- Associate is responsible for or gathering, processing, and evaluating documents, data input, and processing of work items. Works closely with veterinary hospitals, policyholders, and claims team to ensure all documents are obtained.

Job Location: Remote – Oakville, Ontario

Main Responsibilities:

• Calls veterinary offices and policyholders to request medical records and/or invoices necessary to complete claims processing and/or appeals processing

• Reviews records for critical and urgent claim cases to accelerate the claims and/or appeals process.

• Assists other functional areas within the department with pending correspondence and updating information in the appropriate systems.

• Logs claims and/or appeals.

• May review current and pre-claim data to create health history.

• Performs other duties and responsibilities as assigned

• Responds to internal and external inquiries

Basic Qualifications:

• 1 year relevant experience and/or claims experience within a clinic or hospital

• Only Canadian residents will be considered for this position

Expected Hours of Work:

• This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director

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