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Claims Manager
2 weeks ago
We are currently seeking a highly experienced and motivated Claims Manager to join our insurance team in the Philippines. As a Claims Manager, you will be responsible for overseeing the processing and settlement of insurance claims, ensuring that all claims are handled accurately, efficiently, and in accordance with company policies and regulations.
Key Responsibilities:
- Manage a team of claims adjusters, providing guidance, training, and support as needed
- Review and approve insurance claims, ensuring that they are complete and accurate
- Investigate claims to determine coverage and liability
- Negotiate and settle claims with policyholders, third-party claimants, and other stakeholders
- Ensure that all claims are processed in a timely and efficient manner
- Monitor claim activity and identify trends or issues that require attention
- Develop and implement policies and procedures to improve the claims handling process and reduce costs
- Maintain accurate records and documentation related to claims activity
Qualifications:
- Bachelor's degree in Business Administration, Insurance, or a related field
- At least 5 years of experience in claims management, preferably in the HMO industry
- Strong knowledge of insurance policies and regulations
- Excellent leadership and management skills
- Strong communication and interpersonal skills
- Ability to analyze data and identify trends
- Attention to detail and ability to work under pressure
- Ability to make sound decisions and resolve conflicts
What's your expected monthly basic salary?
MEDICARE PLUS, INC. (MedPlus) is one of the country's premiere healthcare providers today. It boasts of over 1,270 accredited hospitals and clinics and more than 20,227 medical and dental practitioners nationwide. Its roster of clients is spread across stries from manufacturing, transport, government, NGOs, BPOs, cooperatives, manpower and professional services, among others.
Since Since its establishment, MedPlus remains strong amidst tough competition and dynamism in the healthcare industry. Under the leadership of its young and able management, a veteran support staff and guided by its principles, MedPlus continues to bring quality healthcare services to the Filipino nation.
OUR VISION is to be the leading provider of affordable healthcare services, preferred by both corporate and individual clients, accessible to every Filipino.
OUR MISSION is to help build a nation that is stronger, healthier and more secure about their future, Our business is to take care of our members healthcare
requirements. We are committed in providing you:
Professional and quality medical and dental services.
Accessible medical and dental institutions
Programs which promote preventive medicine.
Solid and stable management and customer support.
MEDICARE PLUS, INC. (MedPlus) is one of the country's premiere healthcare providers today. It boasts of over 1,270 accredited hospitals and clinics and more than 20,227 medical and dental practitioners nationwide. Its roster of clients is spread across stries from manufacturing, transport, government, NGOs, BPOs, cooperatives, manpower and professional services, among others.
Since Since its establishment, MedPlus remains strong amidst tough competition and dynamism in the healthcare industry. Under the leadership of its young and able management, a veteran support staff and guided by its principles, MedPlus continues to bring quality healthcare services to the Filipino nation.
OUR VISION is to be the leading provider of affordable healthcare services, preferred by both corporate and individual clients, accessible to every Filipino.
OUR MISSION is to help build a nation that is stronger, healthier and more secure about their future, Our business is to take care of our members healthcare
requirements. We are committed in providing you:
Professional and quality medical and dental services.
Accessible medical and dental institutions
Programs which promote preventive medicine.
Solid and stable management and customer support.
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