Bilingual Representative, Claims (Petline Insurance)

The Opportunity

In this role, you will adjudicate health claims in compliance with the policy terms and conditions. You will also provide expert guidance to cross-functional teams to facilitate attainment of profitability targets.

What to Expect

• Assess eligibility of claim conditions based on policy wordings
• Assess claims and requesting medical records for review in association with claims
• Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval
• Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers
• Provide support and guidance to veterinary practices through the Petline
• Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication
• Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score
• Draft customer correspondence and documents of insurance

What You Bring

• Animal Health Technologist (AHT) designation or equivalent combination of education and experience.
• An AMF license is beneficial but not mandatory
• Previous veterinary clinic experience.

• Must be bilingual in English and French : A high level of proficiency in English is required to effectively support internal and external clients across Canada

Salary Range : $45,000- $82,100