Claims Processor

About Fetch At Fetch , we’re dedicated to helping pets live their healthiest and happiest lives. Our comprehensive insurance coverage is designed with modern pet parents in mind, and we’re proud to support the veterinary, shelter, and breeder communities. We believe in ensuring pets receive the best care possible and are committed to making that vision a reality every day. Fetch is a high-growth Warburg Pincus portfolio company with an expanding team of over 350 pet-loving employees working together to shape the future of pet health and wellness. About the Industry The pet insurance industry is more important than ever, offering peace of mind and financial protection for pet owners. The sector is expanding quickly, fueled by growing awareness of the need for accessible, high-quality veterinary care. With advances in veterinary medicine, pets now have access to the most effective treatments available, making pet insurance an essential component of modern pet care. About the Role The Claims Processor is a vital administrative role within the Specialty Claims team, focused on the essential "behind-the-scenes" operations that keep our claims moving efficiently. This role is primarily responsible for the procurement and organization of medical records, the adjudication of wellness claims, and providing administrative support to both Adjusters and the Service Department. The Processor acts as a problem-solver and investigator, navigating account discrepancies and ensuring all documentation is accurately captured to facilitate timely claim determinations. This position requires a high degree of organization, the ability to pivot quickly during clinic outreach, and a commitment to maintaining the integrity of our VIP accounts. Responsibilities Documentation & Record Procurement Conduct high-volume outbound calls to veterinary clinics to request missing medical records and documentation essential for claim adjudication. Review incoming emails and accurately upload documents to the associated policyholder accounts, ensuring all files are correctly categorized. Navigate difficult conversations with clinic staff, pivoting quickly to provide alternative identifiers when a patient is not easily found in their system. Claims Support & Wellness Adjudication Review and assess wellness-specific claims, ensuring they meet policy guidelines for routine care and preventative services. Monitor administrative email queues to address requests from Adjusters and the Service Department regarding file status or account updates. Provide specialized administrative support for VIP accounts, ensuring high-priority requests are handled with precision and care. Operational Reporting & Special Projects Monitor aging claim reports to identify files that require follow-up, ensuring claims remain within established processing timelines. Assist with side administrative projects, including moving files between accounts, managing tracking sheets, and supporting automation initiatives. Maintain and update Google Sheets or Excel trackers, utilizing sorting, filtering, and basic formulas to organize claims data. Qualifications Required Skills & Experience Strong Communication Skills: Exceptional verbal communication for frequent clinic outreach and professional written skills for internal and external correspondence. Technical Proficiency: Comfortable working within Google Suite; foundational skills in Google Sheets or Excel (sorting, filtering, and basic formula writing) are highly preferred. Problem-Solving & Investigation: Ability to "think on your feet" to resolve account issues, find missing files, and investigate request discrepancies. Organization & Multi-tasking: Proven ability to manage multiple administrative tasks simultaneously while maintaining high attention to detail. Adaptability: Capable of pivoting quickly between different tasks, from phone outreach to data entry and special project support. Remote Environment: Ability to work independently in a distraction-free remote environment, as a significant portion of the day is spent on the telephone. Minimum Qualifications High School Diploma or equivalent; Bachelor's degree or veterinary clinic experience is a plus. Prior experience in an administrative, customer service, or data entry role, preferably within the insurance or veterinary industry. Demonstrated ability to handle high-volume tasks in a fast-paced environment. Active and valid Property & Casualty (P&C) Adjuster License in good standing is preferred; however, a willingness and ability to obtain licensure within a specified timeframe post-hire is required.  Compensation The pay range for this position is $21.15- $23.00 on a full-time basis Along with base hourly pay, your position may qualify for additional bonuse Benefits & Perks At Fetch, we recognize the importance of work-life balance and prioritize our employees' mental health and well-being, ensuring everyone can flouri