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 Petline
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