Discovery & fit
Map volumes, queues, SLAs, QA criteria, escalation paths
Services
Claims Processing
Handled by licensed veterinarians trained in your policies and systems. We review, assess, and process claims accurately and efficiently to help you meet SLA commitments and build trust with policyholders.
What we help you do
- Review and assess claim submissions using veterinary expertise
- Process claims accurately according to your policies and SOPs
- Validate clinical documentation and supporting evidence
- Update claim status and communicate decisions per your protocols
- Escalate complex cases according to your rules and thresholds
Capabilities / Scope
Licensed veterinarians trained in your specific policies and systems
Clinical review and assessment capabilities (no final underwriting decisions)
Operate inside your claims/policy platforms with least-privilege access
Perform Pre-approval, Reassessment and Dispute
Ideal for
Pet insurers managing growing claim volumes or aiming to improve turnaround times
How it works (3 steps)
Pilot
1–2 roles, defined queue coverage, daily calibrations, QA targets
Scale
Ramp headcount, expand hours, consolidate reporting to your KPIs
Tools & Integration
We work inside your policy/claims stack and communication channels. No vendor names are listed here; integrations remain client-approved.
Quality & Controls
- Role scorecards, checklists, and calibration sessions
- Named accounts, access reviews, and documentation discipline
- Weekly reporting mapped to your KPIs (accuracy, TAT, customer impact)
Operations are documented and auditable; references and specifics provided under NDA.
Frequently Asked Questions
No. We follow your SOPs and route decisions to your licensed/authorized staff. We do not make clinical or policy adjudication decisions.