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.
Explicit 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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