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Claims Adjuster

Wagmo

Wagmo

Remote
Posted on Apr 27, 2023

What We Do

Wagmo is a new type of pet health company. We are a pet parent's partner in pet parenting - from everyday care to rainy-day emergencies. We offer wellness plans that keep our members on budget and insurance plans that keep them ready for the unexpected. Our members should always feel confident they are giving their pets the care they deserve.

Our mission is to bring pet parents the confidence they need to give pets the care they deserve. We do that by connecting them to budgeting tools they can bank on, partners they can depend on and advice they can count on.

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 role:
Wagmo is looking for a Claims Adjuster to adjudicate claims in accordance with best practice guidelines and regulatory requirements from FNOL through to resolution. 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.
That's the formal overview, but you're probably asking what's it really like? Our Claims team is the best. This isn't your traditional claims role. You get to be involved in the full claims process...not hand offs. You get to reimburse members in as little as 5 mins or 24 hours. Plus...PETS!!! You'll need to love cats and dogs...build some killer relationships with members and really help them make this whole insurance thing way easier than they are used to experiencing. We take our work seriously but not ourselves. If that sounds like you, hit that apply button! Below is a bit more detail to help you determine if you've got the background needed.
What You'll Do
  • Monitor, analyze and report on claim performance: claims inventory, cycle time, processing and quality SLAs, to assure conformity with company objectives and continuous improvement
  • Handle phone calls, emails, and chat messages from policyholders
  • Model ethical behavior and executes job responsibilities in accordance with Wagmo’s mission, vision, and core values
  • Execute policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements
  • Promptly manage all aspects of claim settlement including investigation, correspondence, negotiation, and settlement
  • Provide appropriate reporting on files to the Claims Manager and/or Sr. Management with recommendations on reserving, plan of action, and current evaluation as required
  • Handle phone calls, emails, and chat messages from policyholders
  • Work collaboratively across all internal departments to execute on claim related initiatives
  • Foster a positive and professional relationship with external veterinary professionals
  • Ensure the tracking of customer interactions and decisions in the electronic claims management system

What You'll Need to Be Successful

  • Active Property & Casualty (P&C) license required
  • 3+ years of claims adjusting experience in the insurance industry
  • Proven ability to lead/supervise a team and independently seek solutions to problems
  • Demonstrated proficiency with Microsoft Office 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

  • Pay Range: 45k+
  • Equity in the company
  • Company paid medical premiums for employee only plan (3 out of 4 medical plans)
  • Dental, vision, voluntary life, short term disability and long term disability
  • Commuter assistance
  • Company paid Wagmo pet wellness and insurance plans through monthly reimbursement
  • Unlimited paid time off
  • 12 weeks parental time off
  • ClassPass subsidy
  • 401k
  • Company wide open feedback model

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.