Pet Claims Analyst

Pumpkin promises uncompromising care to the cats & dogs we love unconditionally. By helping prevent future health risks and ensuring access to gold-standard veterinary medicine and individualized support when it matters most–we aim to enable $1/2B in life-extending and life-saving treatment over the next five years.

How we’re making this happen:Premium Insurance:Best-in-class coverage to enable the best, most advanced treatments and therapies when it matters most – without compromiseInnovative Wellness Plans:Personalized preventive care products designed with vets to prevent, reduce, and detect health risks earlier to extend quality of life5-Star Experience:Concierge service & experience powered by pet experts and industry-leading technology to make decisions and providing care stress-free & frictionlessMission-Driven Culture: We put pets' best interests at the center of everything we do. We dream big and solve big problems. We embrace speed, agility, and fearlessness to jump the highest fences, dig new and bigger holes, and fight for the toys we believe in.

Pumpkin is looking for someone who is looking to take the next step in their pet claims career by joining our team as a pet claims analyst. This individual will have the primary responsibility for handling claims submitted for appeal by customers. In addition, this person will assist the claims management team as needed with claims QA, authority, and other duties as needed.

What You'll Do:

• Handle low-medium complexity appeals submitted by customers on claims where coverage is in dispute.
• Provide guidance, mentorship, and training support to pet claims adjusters.
• Review and action requests for authority from adjusters.
• Complete quality assurance audits on low-medium complexity open and closed claims files.
• Collaborate with members of the claims management team to provide insight into claims processes, best practices, and to support the growth of the Pumpkin claims team.

What We're Looking For:

• 2+ years as a veterinary medical professional or equivalent experience.
• 1+ years of experience adjusting pet claims (DVM can substitute for Pet Claims Experience).
• Current P&C adjuster license.
• Excellent written and verbal communication skills.
• Ability to work in a fast-paced startup environment.
• Adaptable and willing to take on new challenges.

Bonus Points:

• Previous experience handling claims appeals and/or claims file audits.
• Previous leadership experience (not necessarily in claims)