To assess and validate pet insurance claims by reviewing medical records and ensuring treatments align with policy coverage, clinical standards, and cost guidelines.
Key Responsibilities
- Review veterinary medical records, diagnostics, and treatment plans.
- Determine claim eligibility based on policy terms and exclusions.
- Assess medical necessity and appropriateness of procedures.
- Approve, adjust, or decline claims with explicit justification.
- Identify potential fraud, over-servicing, or billing discrepancies.
- Provide medical advice to underwriting and claims teams.
- Support appeals and complex case reviews.
Requirements
- Degree in Veterinary Medicine (DVM or equivalent).
- Valid veterinary license.
- 3+ years of animal clinical experience.
- Strong knowledge of veterinary diagnostics and treatment protocols.
- Analytical skills and attention to detail.
- Clear written and verbal communication skills.
Key Competencies
- Medical expertise
- Ethical judgment
- Analytical decision-making
- Confidentiality and compliance awareness
Job Type: Full-time
Pay: ₹35,876.54 - ₹60,158.12 per month
Benefits:
- Leave encashment
- Paid sick time
- Paid time off
- Provident Fund
- Work from home
Work Location: In person
📌 Veterinary Officer (Ahmedabad)
🏢 Synotive Technologies India
📍 Ahmedabad
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