Claims Operations Analyst

About this role

We're building a digital claims and rebate processing platform for the veterinary industry in partnership with a leading global animal health manufacturer. The platform operates on a good-faith reimbursement model where clinics apply discounts at checkout and submit claims that are validated post-transaction, similar to health insurance claims processing.

We're hiring a Claims Operations Analyst to join our newly formed claims operations team. Reporting to the Claims Operations Manager, you will be responsible for the daily review and validation of discount claims, flagging process gaps, and contributing to the continuous improvement of our claims workflows. This is an early-stage role where you will help shape operations from the ground up.

Apply if you’re excited to: Review, validate, and process discount claims daily, including triaging the Manual Review Queue for flagged claims and making approval or denial decisions based on program eligibility rules.

Investigate denial patterns and claim exceptions by performing root cause analysis and recommending process or rule adjustments to reduce resubmission ratesSupport reconciliation activities by verifying claim data accuracy across clinic, program, and reimbursement reportsCollaborate with the Claims Operations Manager and engineering teams to document workflow gaps, suggest automation opportunities, and contribute to SOP and QA framework development.

About You

• Bachelor's degree in Business Administration, Information Technology, Computer Science, or a related field2-4 years of experience in claims processing, payment reconciliation, or operations (healthcare, insurance, fintech, SaaS). Solid understanding of claims adjudication workflows, including approval, denial, exception handling, and remediation processes
• Experience with queue-based service management platforms (e.g., Jira Service Management, Zendesk, ServiceNow) for queue management, claim workflows, and SLA tracking
• Strong analytical and problem-solving abilities with a detail-oriented and process-driven mindset
• Excellent written and verbal communication skills with the ability to clearly document decisions, escalate issues, and coordinate across technical and non-technical stakeholders
• Serve as a professional point of contact for veterinary clinics and pharmaceutical partners, clearly communicating claim decisions, resolving inquiries, and ensuring a positive and trusted customer experience
• We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses.
• These tools assist our recruitment team but do not replace human judgment.
• Final hiring decisions are ultimately made by humans.
• If you would like more information about how your data is processed, please contact us.