Bilingual Claims Adjuster (Petline Insurance)

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 pen 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.

Your Responsibilities

• 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

Your Skills and Experience

• Animal Health Technologist (AHT) designation or equivalent combination of education and experience.
• Holder of an AMF Quebec License is a MUST.
• Previous veterinary clinic experience.
• Bilingual French / English is a must.

We also take potential into consideration. If you don’t have this exact experience, but you know you have what it takes, be sure to give us more insight through your application and cover letter.

Go ahead and expect a lot — you deserve it, and we’ve got it: 

• 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

Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting: [email protected]

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

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