Rebecca E.

Key Skills

Software

No software listed

Top Subject Matter

Veterinary medicine claims adjudication

Veterinary medical record review for insurance benefits

Top Data Types

No data types listed

Top Task Types

Classification

Freelancer Overview

Claims Adjudication Specialist — Trupanion. Brings 21+ years of professional experience across complex professional workflows, research, and quality-focused execution. Core strengths include Internal and Proprietary Tooling. Education includes Bachelor of Science, Salem State University (2002). AI-training focus includes data types such as Medical and DICOM and labeling workflows including Classification.

Labeling Experience

Medical Record Reviewer — Trupanion

Classification

Reviewed high-volume veterinary medical records using structured documentation to support benefit determination workflows. Labeled and evaluated record fields for data gaps and inconsistencies to improve documentation quality and reviewer consistency. Collaborated with clinical and operations teams to interpret complex histories and maintain accuracy in medical record assessments.•Assessed and classified documentation elements needed for benefits determination.•Flagged data gaps, inconsistencies, and unclear history items for correction.•Supported process improvements that increased consistency across reviewers.•Ensured reviewer outputs aligned with operational expectations for structured documentation.

2015 - Present

Claims Adjudication Specialist — Trupanion

Classification

Performed structured review of veterinary medical records and diagnostics to determine coverage eligibility and medical necessity. Labeled and assessed data completeness by identifying inconsistencies and unclear documentation that required clarification. Coordinated with clinics and internal teams to resolve ambiguities and ensure consistent interpretations of claim-related information.•Reviewed and classified record contents relevant to coverage eligibility across diverse species and conditions.•Identified missing or conflicting documentation elements affecting adjudication outcomes.•Recorded determinations and supporting notes to maintain traceability of decisions.•Analyzed claim patterns to inform workflow optimization for future record reviews.

2011 - 2015

Education

Work History