A pet health insurance holding companyHiring

Senior Carrier Operations Claims Analyst

  • Remote, worldwide
  • Senior
  • Posted 2 weeks ago
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In one line

Remote US role overseeing claims handled by outside administrators, acting as the expert on complex and escalated claims for a pet insurer.

About the role

The carrier side of a multi-brand pet insurance group, working with third-party administrators so claims are handled the same way everywhere and stay within guidelines.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, worldwide
Seniority
Senior
Skills
Claims handling, Coverage interpretation, Regulatory compliance, Audits, Fraud investigations, Process improvement
Posted
12 Oct 2026
Last checked
26 Oct 2026

What you will do

  • Review high-value, complex and over-authority claims and recommend next steps
  • Check coverage decisions, appeals, exceptions and other escalated matters
  • Spot claim trends, operational risks and fixes across administrator partners
  • Help with audits, regulatory inquiries and corrective action plans

What they look for

  • 5+ years in insurance claims, claims operations, compliance or quality
  • Solid grasp of claims handling, coverage interpretation and regulatory rules
  • Strong analysis, problem solving and stakeholder communication
  • Experience guiding and training colleagues and business partners

Nice to have

  • Background with TPAs, delegated authority programs or carrier oversight

How Keywordise applies for you

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Claude

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Message for Muse
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Muse is available in the US only for now.

Prompt
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Questions about this job

Can I do this job remotely, and from which countries?

Yes, it is listed as remote, and the posting does not tie it to one country.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a senior role. The posting asks for: 5+ years in insurance claims, claims operations, compliance or quality; solid grasp of claims handling, coverage interpretation and regulatory rules; strong analysis, problem solving and stakeholder communication. Skills it names include Claims handling, Coverage interpretation, Regulatory compliance, Audits.

How do I apply with Keywordise AI?

Select Apply with Keywordise AI, sign up and upload your CV. Keywordise writes a CV and a cover letter for this job from your real experience and applies for you. The 7-day free trial needs no card.

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A pet health insurance holding companyRemote, worldwide
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