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Claims Assessor (Work From Home / Dayshift)

  • Process new insurance claims.
  • Provide advice and recommendation on pet claim and process involved.
  • Collect accurate information and documents to procced with a pet claim.
  • Analyse details of pet claims verifying that treatment aligns to the pet’s diagnosis/condition.
  • Guide the claim consultants with technical advice to procced with payment of the claim.
  • Ensure all paperwork relating to the payment of the claim is received and ready for processing.
  • Identify any reasons why the claim may not be paid.
  • Identify any reasons why full payment cannot be made to the claim.
  • Ensure fair settlement of the claim.
  • Recommend claim for payment in line with claim policy and procedures and delegated authority.
  • Work closely and consult with claims consultants.
  • Ensure the customer is treated fairly and receives prompt claims assessment processing.
  • Adhere to regulatory requirements, industry regulations and customer quality standards as outlined by the company.
  • Bachelor’s degree in Veterinary Medicine is essential.
  • Excellent verbal and written communication skills.
  • Experience in CRM systems or ability to pick up new technology quickly.
  • Proficiency in Microsoft Office.
  • Experience in providing small animal veterinary medical treatment.
  • Experience in reading medical notes / medical history/ treatment notes and plans.
  • Strong work ethic.
  • Excellent time management skills.
  • Ability to engage with multiple stakeholders.
  • Ability to work remotely and attend weekly meetings as required.

As a Twoconnect employee, you get to enjoy the following:

  • Work from home
  • Shift: Monday to Friday: 9:00am - 6:00 pm AEDT/AEST (Covering NZ Time Zone)​
  • Work-life balance
  • Training and Development programmes
  • Employee Engagement Events (company outings, fun activities, quarterly wellness and self-care sessions)
  • Experience working with leading organisations
  • Fun, supportive, and inclusive culture
  • Dedicated Team Managers that look after your development 

Average salary estimate

$70000 / YEARLY (est.)
min
max
$60000K
$80000K

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What You Should Know About Claims Assessor (Work From Home / Dayshift), Twoconnect

Are you ready to make a difference in the lives of pets and their owners? Join Twoconnect as a Claims Assessor and work from the comfort of your home! This opportunity allows you to dive deep into the world of insurance claims, primarily focusing on pet claims. Your role will include processing new insurance claims, providing insights and recommendations, and ensuring accurate information flows smoothly. You'll analyse pet claims to verify that treatments align with the pet’s diagnosis, helping ensure fair settlements and prompt processing. Collaboration is key, as you'll guide teams with technical advice and consult closely with claims consultants. To thrive in this position, a Bachelor’s degree in Veterinary Medicine is essential along with excellent communication skills and a knack for technology. With your strong work ethic and time management skills, you'll engage with multiple stakeholders and enhance customer experiences. At Twoconnect, we nurture a fun, supportive, and inclusive culture, ensuring you not only work but also grow and thrive. With a schedule from Monday to Friday, 9:00 am to 6:00 pm AEDT/AEST, you'll enjoy a wonderful work-life balance along with opportunities for training and development. Ready to embark on this rewarding journey where your expertise can help countless furry friends? Join us today!

Frequently Asked Questions (FAQs) for Claims Assessor (Work From Home / Dayshift) Role at Twoconnect
What are the responsibilities of a Claims Assessor at Twoconnect?

As a Claims Assessor at Twoconnect, you will process new insurance claims, provide recommendations on pet claims, analyze details to ensure treatments correspond with pet diagnoses, and consult closely with claims consultants to facilitate payments. Your role will also involve identifying reasons for claim discrepancies and ensuring compliance with industry regulations.

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What qualifications do I need to apply for the Claims Assessor position at Twoconnect?

To qualify for the Claims Assessor role at Twoconnect, candidates must hold a Bachelor’s degree in Veterinary Medicine. Additionally, strong verbal and written communication skills, proficiency in Microsoft Office, and experience in CRM systems or similar technologies are beneficial.

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How does Twoconnect support its Claims Assessors in their role?

Twoconnect supports its Claims Assessors through continuous training and development programs, ensuring they stay updated with industry standards and procedures. Regular employee engagement events also foster a fun and inclusive culture, where team members can bond and enhance their skills.

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What is the work schedule for a Claims Assessor at Twoconnect?

Claims Assessors at Twoconnect work from Monday to Friday, from 9:00 am to 6:00 pm AEDT/AEST. This schedule accommodates the New Zealand time zone, allowing for a balanced work-life environment in a remote setup.

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Is remote work feasible for the Claims Assessor role at Twoconnect?

Absolutely! The Claims Assessor position at Twoconnect is fully remote. This flexibility allows you to work from anywhere while ensuring timely participation in weekly meetings, all within a supportive team structure.

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Common Interview Questions for Claims Assessor (Work From Home / Dayshift)
Can you explain your experience with processing insurance claims?

When discussing your experience with processing insurance claims, be sure to highlight any relevant roles you've held, specific types of claims you've worked with, and how your attention to detail has contributed to efficiently managing claims from start to finish.

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How do you ensure accurate information is collected during the claims process?

Explain your methodical approach to verifying information, such as cross-referencing medical records with claim forms and maintaining detailed notes to ensure accuracy throughout the claims process. Mention the use of technology or CRM systems that aid in this process.

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Describe a challenging claim you assessed and how you handled it.

Think of a specific situation that tested your problem-solving skills. Discuss the complexities of the claim, your analytical approach, and the ultimate resolution, emphasizing how your veterinary knowledge played a crucial role.

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How do you prioritize your workload when managing multiple claims?

Demonstrate your time management skills by outlining how you assess the urgency of each claim and allocate your time efficiently. Provide examples of tools or methods you use to keep organized.

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What communication strategies do you use when interacting with clients and stakeholders?

Discuss the importance of clear and empathetic communication, especially in a sensitive industry like insurance. Share examples of how you adapt your communication style based on the audience and situation.

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What do you think is the most important aspect of handling pet claims specifically?

Highlight your deep understanding of veterinary knowledge as vital in assessing claims accurately. Discuss how this background enables you to ensure fair treatment while following regulations and company policies.

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How do you stay updated with industry regulations and best practices?

Show your commitment to professional development by detailing resources you use to stay informed, such as attending workshops, engaging with industry publications, or participating in relevant online forums.

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How would you handle a claim that you believe should not be paid?

Explain your approach to ethical decision-making, focusing on how you would gather evidence, communicate with stakeholders involved, and ensure compliance with policy guidelines while remaining empathetic to the clients' needs.

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What tools or software are you experienced with that helps in claims assessment?

Mention any CRM systems you’ve used and your proficiency with Microsoft Office. Highlight how these tools enhance your efficiency and accuracy in managing claims and processing paperwork.

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Why do you want to work as a Claims Assessor at Twoconnect?

Express your passion for animal welfare and your eagerness to contribute to a company that values work-life balance and employee development. Discuss what excites you about Twoconnect’s culture and mission.

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Full-time, remote
DATE POSTED
March 31, 2025

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