Adjuster, Claims Ho Petline

2 days ago

Winnipeg, Canada Definity Financial Corporation Full time

Petline is part of Definity, which includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.

We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.

In this role, you will adjudicate pet health claims in compliance with the policy terms and conditions. You will also provide expert guidance to cross-functional teams to facilitate attainment of profitability targets.

**What can you expect in this role?**
- Assess eligibility of claim conditions based on policy wordings
- Assess claims and requesting medical records for review in association with claims
- Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval
- Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers
- Provide support and guidance to veterinary practices through the Vetline
- Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication
- Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score
- Draft customer correspondence and documents of insurance

**What do you bring to the role?**
- Animal Health Technologist (AHT) designation or equivalent combination of education and experience.
- Previous veterinary clinic experience.

High degree of proficiency with English required to service customers, both internal to the company and external, across Canada.

Salary Range: $43,700 - $80,500

**What’s in it for you?**
- Hybrid work schedule for most roles
- Company share ownership program
- Pension and savings programs, with company-matched RRSP contributions
- Paid volunteer days and company matching on charitable donations
- Educational resources, tuition assistance, and paid time off to study for exams
- Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
- Wellness and recognition programs
- Discounts on products and services

**Go ahead and expect a lot — you deserve it.**

It’s better here — but don’t take our word for it. Definity was named by Great Place to Work ® as one of the Best Workplaces in Canada for women, for youth, and for inclusion.

**Background checks**

This role requires successful clearance of background checks (including criminal checks and leadership references).

LI-Hybrid

IND1

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