Fetch Pet Insurance is a leader in tech-enabled pet wellness, providing all-inclusive pet insurance and health advice. We are growing and seeking compassionate professionals to join our team, dedicated to making vet bills affordable and helping pets live their best lives.

Position Overview:

As a Claims Manager – Specialty Claims (Remote, U.S.), you will oversee specialized claims functions and manage a team of claims adjusters and specialists. This role requires a comprehensive understanding of veterinary medicine, strong problem-solving skills, and the ability to thrive in a fast-paced, remote environment.

Key Responsibilities:

• Reassess claims with adjudication errors
• Provide claim-specific feedback and data analysis
• Support other teams with escalations and claim determination questions
• Manage specialty claims tasks, including: closed claims movement, BDX errors, overpayments, appeals and reassessments, and licensing queries
• Assist with monthly, quarterly, biannual, and yearly audits (including Axis desk audits)
• Review and respond to DOI complaints

Team Management:

You will manage the following roles:

• Lead Claims Adjuster – Special Investigations: Oversee fraud and suspicious activity reviews, manage SIU vendor referrals, support investigations, and review high-value claims
• Lead Claims Adjuster – Appeals: Handle coverage determinations, manage appeal timelines, meet with veterinary staff, and communicate determinations to policyholders
• Senior Claims Adjuster: Adjudicate claims, review medical records, verify coverage, consult with veterinary practices, maintain QA and productivity, participate in SOP creation, and support other adjusters
• Claims Documentation Specialist: Provide administrative support for document requests, appeals, medical record reviews, and high-value claims

Required Skills:

• Comprehensive understanding of disease processes and veterinary medical terminology
• Ability to read and interpret veterinary medical records and invoices
• Ability to identify chronic and acute medical conditions
• Adaptability in a fast-paced, changing environment
• Strong multitasking skills with multiple computer systems
• Ability to work independently while fostering teamwork
• Excellent written and verbal communication skills
• Strong problem-solving abilities for complex medical/veterinary scenarios

Qualifications:

• Minimum of five (5) years of experience as a veterinary technician
• Bachelor’s degree in veterinary science, CVT, or equivalent preferred
• Property and Casualty Adjuster license in good standing preferred; ability to complete and pass state adjuster licensing required
• Proven reliability and consistent attendance
• Availability to work a minimum of 40 hours per week, including occasional weekends and extra hours as needed
• Must be available to work Eastern Standard Time (EST) hours

Work-From-Home Set-Up:

• Reliable high-speed internet (minimum 100 Mbps download / 30 Mbps upload)
• Quiet, dedicated workspace free from disruptions
• Space for dual 19” monitors, laptop, mouse, keyboard, and headset
• Ability to set up and connect equipment shipped to your home (instructions and remote IT support provided)

As a company, we understand the importance of work-life balance and prioritize the mental health + well-being of our employees, ensuring you can thrive both professionally and personally.

Not just pets, we want our employees to live their best lives, too — here at Fetch, you will have:

• 401k matching 
• Personal paid time off - 20 days accrued annually, 9 holidays, 1 floating holiday 
• One additional day of PTO is added each year on your anniversary with the company, a maximum of 30 days
• Volunteering - eligible to earn up to 8 floating holiday hours per calendar year 
• Educational Assistance Programs 
• Fetch Pet Insurance discount - 50% off, up to $1000 savings/year

—ABOUT FETCH—

Fetch is a high-growth, Warburg-Pincus portfolio company. We are a passionate group of 350+ employees and partners across the U.S. and Canada dedicated to helping pets live their best lives. We have two offices (New York City, NY, and Winnipeg, Canada), and we currently provide security to over 500,000 pet parents. 

We don’t just accept differences — we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. We are proud to be an equal-opportunity employer. We recruit, hire, pay, grow, and promote no matter of gender, race, color, sexual orientation, religion, age, protected veteran status, physical and mental abilities, or any other identities protected by law.