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Remote Pet Insurance Claims Adjuster Jobs in Puerto Rico

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider ... High School diploma or GED 1 Year Call Center Exp Six months healthcare claims experience. Ability ...

Remote Pet Insurance Claims Adjuster information

What does a remote pet insurance claims adjuster do?

A Remote Pet Insurance Claims Adjuster reviews and processes insurance claims related to pet health and veterinary care, working from home or another remote location. Their responsibilities include evaluating claim submissions, verifying coverage, assessing documentation from veterinarians, and determining the appropriate payout according to policy terms. They communicate with pet owners, veterinary clinics, and insurance companies to gather necessary information and resolve any discrepancies. The role requires strong attention to detail, good communication skills, and knowledge of insurance procedures. By working remotely, these professionals help streamline the claims process for pet owners seeking reimbursement for veterinary expenses.

How does a remote pet insurance claims adjuster typically collaborate with veterinarians and policyholders during the claims process?

As a Remote Pet Insurance Claims Adjuster, you will frequently communicate with both veterinarians and policyholders to gather necessary documentation, clarify medical details, and explain coverage decisions. Collaboration often involves reviewing medical records, requesting additional information, and providing clear updates to ensure a smooth and transparent claims experience. Effective communication skills and empathy are essential, as you'll be helping pet owners navigate sometimes stressful situations from a distance. Most adjusters work closely with a supportive team and use digital platforms to streamline interactions and maintain thorough records.

What are the key skills and qualifications needed to thrive as a remote pet insurance claims adjuster, and why are they important?

To thrive as a Remote Pet Insurance Claims Adjuster, you need a solid understanding of insurance policies, claims processing, and veterinary terminology, typically supported by an associate degree or relevant experience in insurance or animal health. Familiarity with claims management software, CRM systems, and secure document handling platforms is essential. Strong attention to detail, problem-solving abilities, and clear communication are crucial for efficiently evaluating claims and providing excellent customer service. These skills ensure accurate claim assessments, customer satisfaction, and regulatory compliance in a remote work environment.

What is the difference between Remote Pet Insurance Claims Adjuster vs Remote Health Insurance Claims Adjuster?

AspectRemote Pet Insurance Claims Adjuster

The main difference between a Remote Pet Insurance Claims Adjuster and a Remote Health Insurance Claims Adjuster lies in the type of insurance claims they handle. Pet insurance adjusters focus on claims related to veterinary care and pet health, requiring knowledge of animal health and veterinary billing. Health insurance claims adjusters handle human medical claims, requiring familiarity with medical procedures and healthcare billing. Both roles typically require similar credentials, such as claims adjusting licenses or certifications, and are performed remotely within the insurance industry. The choice depends on your interest in animal health versus human healthcare, but both roles involve evaluating claims and working with insurance policies remotely.

What are popular job titles related to Remote Pet Insurance Claims Adjuster jobs in Puerto Rico?

For Remote Pet Insurance Claims Adjuster jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Pet Insurance Claims Adjuster jobs in Puerto Rico look for?

The top searched job categories for Remote Pet Insurance Claims Adjuster jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Pet Insurance Claims Adjuster jobs?

Cities in Puerto Rico with the most Remote Pet Insurance Claims Adjuster job openings:

Multi-Line Adjuster - Inside

Crawford & Company - América Latina

Guaynabo, PR • On-site, Remote

Full-time

Re-posted 13 days ago


Job description

?? Ready to Lead with Expertise?
?? Be the Adjuster Who Makes a Difference!
Join Us as Multi-Line Adjuster - Remote/Hybrid Role | Guaynabo, PR

What's in it for you?

?? Competitive Pay
?? Flexibility: Remote work allowed in any state, but preference for candidates in Puerto Rico.
?? Impactful Work: Help restore lives and communities through expert claims handling.
At Crawford, every claim represents a person and a community we help rebuild. As a Multi-Line Adjuster, your experience and bilingual skills will ensure accurate, timely resolutions and exceptional client service.

Ready to make an impact through expertise and care? Apply today and join the One Crawford family!

  • College degree or an equivalent combination of education and experience.
  • Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine).
  • Personal computer, typing and keyboarding skills
  • In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business.
  • Familiarity with legal, medical and technical disciplines within specific business lines.
  • Strong verbal and written communication skills.
  • Good analytical ability and mathematical aptitude.
  • Good attention to detail and organizational skills.
  • Ability to gather and analyze information, then determine and implement the appropriate course of action.
  • Good interpersonal skills.
  • Licensing as required by state and local jurisdictions.
  • Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated.
  • College degree or an equivalent combination of education and experience.
  • Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine).
  • Personal computer, typing and keyboarding skills
  • In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business.
  • Familiarity with legal, medical and technical disciplines within specific business lines.
  • Strong verbal and written communication skills.
  • Good analytical ability and mathematical aptitude.
  • Good attention to detail and organizational skills.
  • Ability to gather and analyze information, then determine and implement the appropriate course of action.
  • Good interpersonal skills.
  • Licensing as required by state and local jurisdictions.
  • Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated.

#LI-CB3

  • Investigate coverage, liability, and damages with all parties involved in a claim as requested by our customers or Crawford and Company or a subsidiary thereof.
  • Investigate claims by interviewing claimants, witnesses, establish claim reserves, handle evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings.
  • Negotiates and settles claims, sets reserves, and manages litigation within client service parameters and authority levels by obtaining demands and making offers to claimants.
  • May present evidence at legal proceedings.
  • Provide filings with regulatory agencies, disposing of salvage and pursuing subrogation when appropriate.
  • Prepare reports by collecting and summarizing information required by the client and obtained through investigation.
  • Self starter capable of working alone or with others.
  • Maintains company reputation and insurance product integrity by complying with Federal and state regulations, client and Crawford and Company service standards.
  • Maintain expected case loads in multiple lines of business while meeting established service delivery, production, quality, sales and educational objectives.
  • May be required to work on-call during off work hours to respond to emergency on-site investigations.
  • Maintain professional and technical knowledge through continuing education in multiple lines of business.
  • Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives.
  • Uphold and project the corporate image by participating in industry organizations and functions.
  • Ability to multi-task in a time sensitive environment and handle job responsibilities with a sense of urgency.
  • Participates in special projects or performs duties in other areas as requested.
  • Upholds the Crawford Code of Conduct.