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Claims Processor

What We Do

Wagmo is a new type of pet health company focused on empowering and inspiring responsible pet parenting through top-tier pet benefits provided by employers. From everyday care to rainy-day emergencies, we offer tech-enabled solutions that are optimized for value and flexibility so that our pet parents always feel confident that they are giving their pets the care they deserve.

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 The Role

As a Claims Processor, you will be responsible for reviewing claim submissions to determine coverage as they align with applicable policy agreements, verifying automated claim items, and managing the claims process through to reimbursement or transfer to our insurance team. 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.

Core Responsibilities

  • Administer intake of Wellness and Insurance claims in our systems, including automated line item review, allocating each service/treatment to either Wellness or Insurance, and sending files to our insurance partner for processing when necessary 

  • Fully adjudicate Wellness claim items from intake to reimbursement in accordance with our SLAs

  • Interact with pet parents and clinic staff as needed to complete claim processing

  • Work out of a shared queue to prioritize timely responses to inbound customer claim inquiries

  • Work collaboratively across all internal departments to execute on claim related initiatives and drive positive customer experiences

  • Actively engage in developmental improvement from quality assurance and coaching feedback

  • Proactively gather customer feedback and make suggestions for product and process improvements that drive better customer outcomes

  • Foster a positive, professional, and collaborative team environment

What You’ll Need to be Successful

  • Prior veterinary medical experience, knowledge of veterinary terminology, procedures, and diagnostics

  • Insurance licensing and claim adjudication experience is not required but can be advantageous

  • Proven ability to independently seek solutions to problems

  • Demonstrated proficiency with Microsoft Office/Google Suite 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

  • Company paid medical premiums

  • Dental, vision, voluntary life, short term disability and long term disability

  • Unlimited paid time off & extended holiday break

  • 12 weeks parental time off

  • 401k

  • Company paid Wagmo pet wellness and insurance plans

  • Pet-friendly office

  • Regular company-wide events

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.

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CEO of Wagmo
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Christie Horvath
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Average salary estimate

$60000 / YEARLY (est.)
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$50000K
$70000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Claims Processor, Wagmo

Are you a pet lover with a knack for detail and a passion for helping others? Join Wagmo as a Claims Processor in New York! In this role, you'll be a key player in our mission to empower responsible pet parenting. Your main responsibilities will include reviewing claim submissions, determining coverage according to policy agreements, and ensuring a smooth claims process leading to reimbursement. You will maintain clear communication with pet parents, veterinary professionals, and claim staff, making sure everyone's needs are met along the way. We appreciate authenticity, efficiency, and a good sense of humor—seriously, we work with dogs all day! If you're detail-oriented, tech-savvy, and possess a good understanding of veterinary terminology, you'll be right at home with us. At Wagmo, we prioritize performance over pedigree and are focused on creating a supportive, collaborative environment. So if you're ready to contribute to a company that values both its clients and its employees, check out Wagmo today and see how you can make a difference in the lives of pets and their owners while enjoying some perks along the way, like unlimited paid time off and company-paid pet wellness plans.

Frequently Asked Questions (FAQs) for Claims Processor Role at Wagmo
What are the responsibilities of a Claims Processor at Wagmo?

As a Claims Processor at Wagmo, your main responsibilities include reviewing claim submissions to ensure they align with applicable policy agreements, verifying automated claims, and managing the claims process through reimbursement. You will also be interacting with pet parents and veterinary staff as needed and will work collaboratively with other departments to enhance the customer claims experience.

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What qualifications are needed for a Claims Processor at Wagmo?

To be successful as a Claims Processor at Wagmo, prior veterinary experience and an understanding of veterinary terminology are preferred. Though insurance licensing is not required, it can be advantageous. Additionally, strong problem-solving skills, proficiency in Microsoft Office and claims software, and excellent communication abilities are essential to thrive in this role.

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How does Wagmo support its employees as a Claims Processor?

Wagmo offers a range of benefits for its Claims Processors, including company-paid medical premiums, dental and vision insurance, unlimited paid time off, and a pet-friendly office environment. They also provide company-paid Wagmo pet wellness plans and foster a positive, collaborative culture where feedback is encouraged for continuous improvement.

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What is the working environment like for a Claims Processor at Wagmo?

At Wagmo, the working environment is vibrant, pet-friendly, and collaborative. Employees are encouraged to be authentic and efficient, with a focus on teamwork and communication. The company values flexibility and innovation, ensuring that Claims Processors can adapt to changes while contributing positively to the team's success.

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What opportunities for growth exist for a Claims Processor at Wagmo?

Wagmo promotes professional development and growth for its Claims Processors. Employees are encouraged to engage in quality assurance, provide feedback, and contribute to initiatives that enhance customer experiences. Opportunities for career advancement and skill development within the company are actively fostered.

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Common Interview Questions for Claims Processor
Can you explain your experience with veterinary terminology and how it applies to being a Claims Processor?

In the role of Claims Processor at Wagmo, a strong understanding of veterinary terminology is crucial to accurately review claims. Highlight any relevant experience you've had in a veterinary setting and be ready to describe how this knowledge helps in processing claims efficiently and effectively.

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How do you prioritize tasks in a fast-paced environment like Wagmo?

When working as a Claims Processor, prioritizing tasks is essential to meet deadlines. Discuss your approach to time management, including any tools or techniques you use to ensure high-priority claims are processed swiftly while maintaining accuracy.

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Tell us about a difficult claim you processed and how you resolved any issues.

Share a specific example from your experience, focusing on the steps you took to resolve the situation and the final outcome. Emphasize your problem-solving skills, attention to detail, and commitment to providing excellent customer experience as a Claims Processor.

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How do you handle communication with pet parents and veterinary staff?

Effective communication is key in the role of Claims Processor. Talk about your experience interacting with clients and professionals, using examples that demonstrate your ability to be clear, empathetic, and responsive. Highlight how these skills contribute to a positive claims experience.

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What strategies do you use for quality assurance in claims processing?

Quality assurance is critical in claims processing. Discuss strategies you employ to check accuracy, such as double-checking your work, adhering to SLAs, and seeking feedback from peers. Explain how these practices help improve the overall claims process.

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What motivates you to work in the pet health industry?

Express your passion for animals and helping pet parents. It's a good idea to relate this motivation back to Wagmo’s mission of empowering responsible pet parenting, showing that you align with the company's values.

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Describe how you have contributed to process improvements in prior roles.

Provide a specific example where you identified an inefficiency in a previous job and the steps you took to improve it. Highlight how this experience could translate to your work as a Claims Processor at Wagmo.

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How do you ensure accuracy while managing multiple claims at once?

Discuss your techniques for maintaining accuracy under pressure, such as creating checklists or using technology tools. Mention how staying organized helps you manage time while ensuring completeness in the claims you process.

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Why do you think teamwork is important in the claims processing role at Wagmo?

Emphasize that collaboration is essential for achieving optimal customer outcomes. Discuss your experience in fostering teamwork and how it can enhance efficiency, especially when dealing with interdepartmental initiatives at Wagmo.

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What is your approach to gathering customer feedback?

Explain how gathering customer feedback is an essential aspect of improving the claims process. Describe methods you use, such as surveys or direct outreach, and how you leverage that feedback to enhance overall service as a Claims Processor.

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Wagmo is a tech-first pet wellness company built with new pet parents in mind. Wagmo's wellness and insurance plans empower pet parents to get the care they need for their pets when they need it the most. Wagmo alleviates the financial stress of r...

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DATE POSTED
April 8, 2025

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