Claims Adjuster

Akron, OH, USA ● Virtual Req #766
Thursday, March 16, 2023
Our Mission at Pethealth Inc. is to bring vitality to lives… furry and otherwise.  This includes pets, and the people who care for them; our employees, our partners, our customers, our business and our communities.

Job Title

Claims Adjuster

Reports To

Supervisor, Claims, NA


Claims and Underwriting

Job Grade:




Job Family:

Insurance Operations


Rolling Meadows, Illinois

Last Updated:


Position Summary:

Reporting to the Claims Supervisor the primary objective is to ensure high quality, expedient, and profitable turnaround of member claims, while ensuring a positive member experience is achieved throughout the claims process.

Job Duties/Responsibilities:

  • Adjusting claims on a daily basis within claims turnaround timelines, individual productivity and quality assurance targets
  • Reviewing reassessments and pre-approvals within set turnaround times daily
  • Ensuring owner and pet information on claim forms corresponds with information contained in medical history and policy administration systems
  • Responsible for contacting members/clinics to obtain any additional medical information required for claim completion
  • Review of complete medical history relating to submitted claims to verify coverage eligibility against the selected policy
  • Communicating details of processed claim to clients and veterinarians as required
  • Assisting Customer Service Representatives with claims related inquiries
  • Ongoing collaboration with claims and risk management team regarding best practices
  • Other duties as assigned


  • Bachelor’s or Associate’s in animal care or related field; CVT, LVT, or RVT is preferred,
  • 2-3 years of experience working in a clinical/veterinary environment, preferably in primary care
  • Strong knowledge of veterinary medical terminology, treatments, and medications
  • Previous insurance experience is an asset

Required Qualifications (Certifications, Licenses, Software Programs, KSA’s):

  • Ability to obtain Insurance Adjuster licensing as required
  • Strong knowledge of veterinary medical terminology
  • Strong communication and customer service skills
  • Comfortable using a computer and proficient with Microsoft office and data entry
  • Exceptional telephone and interpersonal communication skills
  • Strong problem solving and de-escalation skills
  • Positive attitude, highly self-motivated and goal-orientated
  • Ability to work both independently and as part of a team

Additional Qualifications:

  • Prior experience working in an administrative/office-based role is an asset, but not a requirement
  • Must be able to pass background checks (criminal and credit)

Work Requirements:

  • Frequent communications, verbal and written.
  • Must be able to read, count and do simple mathematics.
  • Be able to lift up to 10lbs. occasionally.
  • The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc.
  • Constantly operates a computer and other office productivity machinery, such as a phone with headset, calculator, copy machine, and computer printer.
We thank all candidates for their interest.

If selected for an interview, you  will be contacted by email within 7 business days.

Pethealth is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of age, race, religion, disability, gender, sexual orientation or national origin. Accommodations are available upon request for candidates taking part in all aspects of the selection process.

Other details

  • Job Family Insurance - Claims
  • Pay Type Hourly
  • Employment Indicator Regular
  • Travel Required No
  • Required Education Certification
  • Job Start Date Monday, April 17, 2023
Location on Google Maps
  • Akron, OH, USA
  • Virtual