Pet Claims Assessor (Veterinary Experience) - Work from Home / Dayshift
- Role
- Unknown
- Employment
- Full-time
The listing doesn't say where it hires from. It may hire in Philippines (89% confidence). This is an estimate, not an eligibility rule; verify before applying.Signals: the employer's other listings and company offices.
No BS summary
This role will focus on reviewing medical notes, treatment history, supporting documentation, claim details, and final checks through the internal claims portal as an assessor for post-treatment pet insurance claims.
Required languages
The Claims Assessor will review and assess post-treatment pet insurance claims, using veterinary knowledge and clinical judgement to ensure claims are accurate, complete, and assessed fairly in line with company policies, procedures, regulatory requirements, and delegated authority. This role will focus on reviewing medical notes, treatment history, supporting documentation, claim details, and final checks through the internal claims portal to determine whether treatment aligns with the pet’s diagnosis or condition and to support fair, accurate, and timely claim outcomes.
Process and assess new post-treatment pet insurance claims through the internal claims portal, including completing final checks before approval. Review claim information, medical notes, medical history, treatment notes, treatment plans, invoices, and supporting documentation to ensure details are accurate, complete, and consistent. Apply veterinary knowledge and clinical judgement to assess whether the treatment provided is appropriate for the pet’s diagnosis, condition, and claim circumstances. Collect accurate information and documentation required to proceed with pet claims. Identify inaccurate, incomplete, missing, or inconsistent information when reviewing claims and follow up where required. Identify any reasons why a claim may not be payable under policy terms, procedures, or relevant exclusions. Identify any reasons why full payment cannot be made and ensure partial payment decisions are assessed fairly and accurately. Recommend claims for payment in line with claim policies, procedures, regulatory requirements, delegated authority, and company standards. Support fair settlement of claims by applying veterinary knowledge, policy requirements, sound judgement, and strong attention to detail. Provide veterinary and technical advice where required and work closely with the claims team to support accurate assessment and payment decisions. Assist with existing manual claims where required while the new claims system is being implemented, with the claims portal being the primary focus as the system is rolled out. Ensure customers are treated fairly and receive prompt, accurate, and professional claims assessment processing. Maintain accurate claim records, assessment notes, documentation, and internal communication in the relevant systems. Maintain a high level of accuracy, efficiency, and attention to detail while ensuring customer quality standards are consistently met. Attend remote meetings, training sessions, and team discussions as required.
What you'll do
- Process and assess new post-treatment pet insurance claims through the internal claims portal, including completing final checks before approval.
- Review claim information, medical notes, medical history, treatment notes, treatment plans, invoices, and supporting documentation to ensure details are accurate, complete, and consistent.
- Be like a pet vet.
- Apply veterinary knowledge and clinical judgement in claim assessment.
- Collect accurate information and documentation required to proceed with pet claims.
- Identify inaccurate, incomplete, missing, or inconsistent information when reviewing claims and follow up where required.
- Identify any reasons why a claim may not be payable under policy terms, procedures, or relevant exclusions.
- Recommend claims for payment in line with claim policies and procedures.
- Support fair settlement of claims by applying veterinary knowledge, policy requirements, and attention to detail.
- Provide veterinary and technical advice to the claims team.
- Maintain accurate claim records, assessment notes, and documentation.
- Attend remote meetings, training sessions, and team discussions as required.
What they require
- Bachelor’s degree in Veterinary Medicine is essential.
- Veterinary Doctor qualification is highly preferred.
- 3–5 years’ experience in veterinary medicine, small animal veterinary practice, pet claims assessment, insurance claims, veterinary administration, animal health, or a similar role is required.
- Strong veterinary knowledge in treating animals and animal conditions is highly desirable.
- Ability to interpret medical notes, medical history, treatment notes, treatment plans, invoices, and veterinary documentation required.
- Previous pet insurance claims experience is highly desirable.
- Strong analytical skills and attention to detail.
- Excellent written and verbal communication skills.
- Ability to provide clear veterinary and technical advice.
- Experience using CRM systems, claims systems, or the ability to learn new technology quickly.
- Proficiency in Microsoft Office.
- Strong time management skills and ability to work remotely.
- Willingness to work with an inclusive culture and dedicated managers.
Benefits
- Permanent work from home
- Monday–Friday: 7:00 a.m.–4:00 p.m. (PHT) with adjustments for daylight saving time.
- HMO with 2 free dependents and medical reimbursements
- Government-mandated benefits
- Opportunities to work with leading companies in Australia and beyond
- Training programs for career development
- Engaging company outings, team activities and wellness sessions
- Supportive, inclusive culture
- Dedicated managers focused on your growth and success
- Twoconnect offers competitive pay, additional entitlements, and structured career development programs.
Twoconnect connects highly skilled Filipino professionals with established companies in Australia, New Zealand, the United States, the United Kingdom and Europe, providing direct access to global careers and long-term opportunities.