Analyst, Claims - Pet
$46.3k - $80.7k+ 401(k) match + Company-paid pension plan
Mid
Bachelor's
New Mexico, USA+49 moreMore locations: Washington, USA | Kansas, USA | Pennsylvania, USA | North Dakota, USA | Oregon, USA | Delaware, USA | Iowa, USA | California, USA | Vermont, USA | Wyoming, USA | Connecticut, USA | Texas, USA | Montana, USA | Florida, USA | New Hampshire, USA | Nevada, USA | South Carolina, USA | South Dakota, USA | Georgia, USA | Arizona, USA | St. Louis, MO, USA | Mississippi, USA | Tennessee, USA | Virginia, USA | Arkansas, USA | Minnesota, USA | Colorado, USA | Nebraska, USA | Rhode Island, USA | Utah, USA | Columbus, OH, USA | Kentucky, USA | West Virginia, USA | New York, NY, USA | Maryland, USA | Wisconsin, USA | Maine, USA | Massachusetts, USA | North Carolina, USA | Oklahoma, USA | Missouri, USA | Ohio, USA | New Jersey, USA | Indiana, USA | Louisiana, USA | Michigan, USA | Illinois, USA | Alabama, USA | Idaho, USA
In PersonNormal office environment; non-standard hours may be required.
InsuranceClaims Adjudication
About the job
Requirements
- High school, vocational, or technical school studies.
- State licensing and/or other certification as required; associates must acquire required federal and/or state licenses or registrations within the designated time period. Additional licenses or registrations may be required when new products and services are implemented, and failure to acquire them may make the associate ineligible to continue in the position.
- Three to five years of veterinary claims experience or equivalent training in a veterinary clinic or hospital position under the direct supervision of a veterinarian or veterinary technician is preferred.
- Demonstrated understanding of veterinary medical practices and treatment.
- Ability to understand and use Nationwide Insurance policies, riders, and endorsements and recognize and resolve questionable coverage situations.
- Ability to read, analyze, and interpret documents and solve practical problems.
- Ability to meet internal customer needs and provide service by informing customers of the claims process and ensuring a positive customer experience.
- Written and verbal communication skills for contact with policyholders, claimants, physicians, and medical staff.
- Ability to use basic math, including addition, subtraction, multiplication, and division.
- Ability to operate a personal computer and software for claims-related and other business applications.
- Ability to work non-standard hours.
- Regularly and consistently demonstrate Nationwide Values.
Responsibilities
- Process new and pending medical claims according to the appropriate workflow; review veterinary diagnoses and code claims according to policy provisions; complete claims by coding and processing them or sending them to the appropriate workflow.
- Determine coverage, including pre-existing, breed-specific, and hereditary conditions, and approve benefits and eligibility of each claim based on policy terms and conditions.
- Process claims accurately based on established criteria, provider contract plans, and employer group provisions.
- Request, review, and evaluate medical records or treatment notes to determine how to resolve claims.
- Ensure proper documentation in compliance with company policies and practices, and record final claim dispositions, including denials and payments.
- Identify and advise management of questionable claims and risks.
- Perform other responsibilities as assigned.
Desired Qualifications
- An undergraduate degree in biology, zoology, or a related animal science field is preferred.
- Three to five years of veterinary claims experience or equivalent training in a veterinary clinic or hospital position under the direct supervision of a veterinarian or veterinary technician is preferred.
About the company
Nationwide is an insurance and financial services group serving individuals, families and businesses across the United States. Its property and casualty arm covers cars, homes and commercial risks, earning premiums and paying claims. Its Nationwide Financial arm sells annuities, life insurance and retirement plans, earning fees and investment spreads on the savings it manages. Investment returns on the premiums and assets it holds add to its underwriting results across both businesses. The company began in 1926 as Farm Bureau Mutual Automobile Insurance Company, formed by Ohio farmers seeking fairer auto rates, and is headquartered in Columbus, Ohio.
Company Size
10,001+
Company Stage
N/A
Total Funding
$1.4B
Headquarters
Columbus, Ohio
Founded
1926
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Simplify's Take
What believers are saying
- Profits jumped: Nationwide's 2025 net operating income rose 37% to $4.3 billion, reported April 2026.
- Tech staff get budget: in April 2026 Nationwide earmarked $100 million yearly for AI through 2028.
- Job security rests on a deep cushion: Nationwide's total adjusted capital is a record $32.8 billion.
What critics are saying
- No stock upside for staff: Nationwide is owned by policyholders, so it has no publicly traded shares to grant.
- Weather hits the books: severe 2025 wildfires and storms drove heavy claims, Nationwide reported in April 2026.
- Growth leans on outside sellers: Nationwide's 2025 results credit expanded distribution through institutional partners.
What makes Nationwide unique
- Retirement products balance car and home cover: Nationwide Financial ranks top 10 in annuities and life insurance.
- Nationwide tries to stop claims before they happen: it gives policyholders Ting electrical and LeakBot water-leak sensors.
- Farm cover is home turf: Nationwide ranks No. 1 among farm and ranch insurers by A.M. Best market share.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Disability Insurance
- Paid Vacation
- Paid Holidays
- 401(k) Retirement Plan
- 401(k) Company Match