1. Pet Insurance Platform
  2. Who it's for
  3. Veterinary claims teams
Who it's for

Veterinary claims teams

A claims team can review vet invoices against the selected pet policy and retain a clear decision trail. The policy remains the reference point for coverage, submissions, decisions and payments. Agree who owns each external result before the first live case.

How Pet Insurance Platform is set up for you

Policy identity

Use the carrier, policyholder and assigned team member to identify the correct policy before any claim is recorded. A similar pet or owner name should not decide the link.

Coverage timing

Keep coverage revision and effective dates available when a loss is assessed. An endorsement can change later scope without rewriting the earlier decision basis.

Independent review

The Authorized Underwriter decides a reviewed revision with a reason. The Insurance Coordinator prepares and follows the record without replacing the decision owner.

Money evidence

Premium and claim payment receipts carry their own provider event and verification value. A decision amount is a different record from a received or paid amount.

A claims team can review vet invoices against the selected pet policy and retain a clear decision trail. The policy remains the reference point for coverage, submissions, decisions and payments. Agree who owns each external result before the first live case.

Start with submitted veterinary claims for one policy group. Check pet reference, vet invoice, claimed amount and submission time before an underwriter decides the current revision. Keep the veterinary result distinct from an insurer benefit decision and a verified payment. Agree who checks external care evidence when a practice sends a correction.

Use a rehearsal with a corrected document and a delayed provider event. The team should be able to find the original policy, the review decision, the relevant receipt and the staff member responsible for the next action. Make the same case readable to an Auditor without granting editing access. The [implementation plan](/pet-insurance-platform/implementation) sets out the handoff, while [policy setup](/pet-insurance-platform/processes/policy-setup) shows the first operating path.

Features to start with

Roles on the team

Insurance Coordinator
Prepare assigned operational records and execute eligible reviewed actions.
Authorized Underwriter
Review eligible revisions independently and reconcile operational evidence.
App Administrator
Maintain organization configuration and membership.
Auditor
Read authorized evidence and reports.

Set up Pet Insurance Platform your way.

Start free, then use Proto to change fields, steps and approvals before your team goes live.

How to get started