Claims Specialist

This is a fully remote position, open to applicants in Germany.

📋 Description

• Evaluate claim eligibility and determine outcomes by reviewing veterinary medical records, clinical notes, invoices, and policy information.

• Consistently and accurately apply policy language, claims guidelines, and established processes.

• As part of the appeals process, conduct secondary claim reviews and communicate the rationale for claims clearly and professionally.

• Investigate complex claims by gathering, validating, and interpreting relevant medical and policy information.

• Proactively identify any missing or incomplete information and obtain necessary documentation from veterinary clinics, specialists, or pet owners.

• Communicate with veterinary professionals, pet owners, and internal teams via phone and email regarding claim decisions, status updates, and policy inquiries.

• Provide a positive, efficient, and empathetic experience for pet owners and veterinary partners during sensitive situations.

• Maintain accurate records and documentation across multiple internal systems.

• Collaborate with cross-functional teams to promote operational excellence and support continuous improvement initiatives.

• Share ideas and feedback to improve claims processes, workflows, and customer experiences.

⛳️ Requirements

• Required: Professional working proficiency in English.

• Required: Professional fluency in German or French.

• A minimum of 2 years of experience in a customer-facing role within veterinary, animal health, pet insurance, or a related environment.

• Strong knowledge of veterinary medical terminology, common conditions, treatments, and diagnostic procedures.

• Direct experience with clients or pet owners in a veterinary clinic, hospital, or animal health setting is highly preferred.

• Experience in reviewing medical records, supporting patient care, claims adjudication, or insurance operations is advantageous.

• Proven ability to learn and navigate multiple systems, processes, and technologies.

• Proficiency in Microsoft Office applications and other business software.

🏝️ Benefits

• 25 holiday leave days.

• Five-week sabbatical after five years of employment.

• Medical Insurance for a cat or dog.

• Medical Concierge (Summus).

• Lifestyle Spending Account (LSA).

• Family Planning (Carrot).

• Employee Assistance Program.

• Open, casual, pet-friendly, and fun office environment.