Veterinary Insurance Claims Specialist

27 minutes ago

Hyderabad, Telangana, India Quadrantech Full time ₹ 4,00,000 - ₹ 8,00,000 per year
Location:

Hyderabad (Hybrid)

Work Hours:

9:00 AM – 06:00 PM

Experience Required:

0–2 years in veterinary/medical insurance claims processing or related domain

Who We Are:

Quadrantech Pvt. Ltd. is a trusted partner offering comprehensive IT, BPO, and cybersecurity services, with strong expertise in healthcare and insurance administration. Guided by innovation, compliance, and operational excellence, we support global organizations in streamlining processes, improving accuracy, and delivering quality customer experiences.

Job Summary:

We are seeking a skilled Veterinary Insurance Claims Specialist to join our Claims Operations team. The ideal candidate will have hands-on experience in reviewing, validating, and processing veterinary insurance claims with high attention to detail. This role requires strong analytical skills, familiarity with veterinary terminology, and the ability to collaborate with global teams while ensuring adherence to compliance and service-level standards.

Key Responsibilities:
  • Review and process veterinary insurance claims according to company policies and SLAs
  • Evaluate clinical notes, treatment plans, invoices, and medical histories for claim validity
  • Verify coverage eligibility, exclusions, and benefits before claim adjudication
  • Communicate with veterinary clinics, pet owners, and internal teams for missing or unclear information
  • Identify discrepancies, potential fraud indicators, and documentation gaps
  • Accurately document claim decisions and maintain records in claim management systems
  • Collaborate with QA, Operations, and Support teams for continuous process improvement
  • Participate in daily standups, workflow reviews, and training sessions
  • Ensure compliance with data protection and regulatory standards
Required Qualifications:
  • Experience with veterinary, medical, pet insurance, or healthcare claims processing
  • Strong understanding of veterinary medical terminology, procedures, and diagnostics
  • Ability to interpret invoices, SOAP notes, treatment records, and lab reports
  • Proficiency with claims management systems and documentation tools
  • Strong analytical ability with excellent attention to detail
  • Good working knowledge of MS Office (Excel, Outlook, Word)
Preferred Qualifications:
  • Experience with US/UK/AUS insurance processes
  • Familiarity with claim adjudication guidelines and regulatory compliance
  • Exposure to workflow tools such as CRM platforms, ticketing systems, or BPM tools
  • Knowledge of denial management, appeals, and resubmission processes
Soft Skills:
  • Excellent verbal and written communication skills
  • Strong problem-solving and decision-making abilities
  • Ability to work independently and in a fast-paced environment
  • Team-oriented mindset with strong collaboration skills
  • High level of accuracy, integrity, and professionalism

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