Claims Processor

About Wagmo

Wagmo is a new type of pet health company focused on empowering and inspiring responsible pet parenting through top-tier pet benefits provided by employers. From everyday care to rainy-day emergencies, we offer tech-enabled solutions that are optimized for value and flexibility so that our pet parents always feel confident that they are giving their pets the care they deserve.

What's Important To Us

We solve hard problems all day long but hang out with dogs while we do it. We value authenticity and efficiency and have no time for egos. We prioritize performance over pedigree, compensate fairly, and never take ourselves too seriously.

Our values are core to who we are and how we operate. We talk about them all the time. These are not just things posted on a wall. We will interview for them, hold each other accountable to them, and make sure we work with every single person we interact with in a way that's consistent with these values.

About The Role

As a Claims Processor, you will be responsible for reviewing claim submissions to determine coverage as they align with applicable policy agreements, verifying automated claim items, and managing the claims process through to reimbursement or transfer to our insurance team. You will be an ambassador of our customer-centered claims journey and will maintain clear lines of communication with policyholders, claim staff, third-party administrators, and veterinary professionals.

Core Responsibilities

• Administer intake of Wellness and Insurance claims in our systems, including automated line item review, allocating each service/treatment to either Wellness or Insurance, and sending files to our insurance partner for processing when necessary
• Fully adjudicate Wellness claim items from intake to reimbursement in accordance with our SLAs
• Interact with pet parents and clinic staff as needed to complete claim processing
• Work out of a shared queue to prioritize timely responses to inbound customer claim inquiries
• Work collaboratively across all internal departments to execute on claim related initiatives and drive positive customer experiences
• Actively engage in developmental improvement from quality assurance and coaching feedback
• Proactively gather customer feedback and make suggestions for product and process improvements that drive better customer outcomes
• Foster a positive, professional, and collaborative team environment

What You’ll Need to be Successful

• Prior veterinary medical experience, knowledge of veterinary terminology, procedures, and diagnostics
• Insurance licensing and claim adjudication experience is not required but can be advantageous
• Proven ability to independently seek solutions to problems
• Demonstrated proficiency with Microsoft Office/Google Suite products and claims-related software programs
• Demonstrated success in cross-team collaboration and working with internal and external stakeholders
• Ability to prioritize multiple high-priority tasks, manage your day-to-day schedule, and hit deadlines consistently
• Detail-oriented with excellent design, written, and verbal communication skills
• Self-motivated critical thinker who can work independently to solve problems
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm

Key Benefits

• Company paid medical premiums
• Dental, vision, voluntary life, short term disability and long term disability
• Unlimited paid time off & extended holiday break
• 12 weeks parental time off
• 401k
• Company paid Wagmo pet wellness and insurance plans
• Pet-friendly office
• Regular company-wide events

Employment Details

• Salary: $45K - $50K
• Location Type: Remote
• Employment Type: FullTime

Diversity & Inclusion

We here at Wagmo strive to build a workforce composed of individuals with diverse backgrounds, abilities, minds, and identities that will help us to grow, not only as a company, but also as individuals. Wagmo is an Equal Opportunity Employer.