Claims/Appeals Reviewer

Established in 2021, Independence Pet Holdings 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:

FIGO is seeking a Claims/Appeals Reviewer- Associate who will report to the Supervisor, Operations Documentation. The Claims/Appeals Reviewer is responsible for 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 – USA

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.

Basic Qualifications:

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

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

#li-Remote

All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:

• Comprehensive full medical, dental and vision Insurance
• Basic Life Insurance at no cost to the employee
• Company paid short-term and long-term disability
• 12 weeks of 100% paid Parental Leave
• Health Savings Account (HSA)
• Flexible Spending Accounts (FSA)
• Retirement savings plan
• Personal Paid Time Off
• Paid holidays and company-wide Wellness Day off
• Paid time off to volunteer at nonprofit organizations
• Pet friendly office environment
• Commuter Benefits
• Group Pet Insurance
• On the job training and skills development
• Employee Assistance Program (EAP)