Claims Coordinator

Human Resource and Administrative Coordinator Job Type: Full-time Salary: Php 18,000.00 to Php 23,000.00 /month JOB DESCRIPTION, DUTIES, AND RESPONSIBILITIES: Assist with all internal and external HR related inquiries or requests Assist with the recruitment process by identifying candidates, and performing reference checks Assist in employee on-boarding,...

Graduate of at least Bachelor's/College Degree in Marketing or equivalent.Computer proficiency with Microsoft Office, proactive, reliable, responsible and accurate with excellent attention to details and have ability to handle pressure.Can handle checking of claims.Preparation of BPS.Monitoring of reports.Coordination with Sales and Merchandising...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...

Pilmico and Gold Coin Group is the integrated agribusiness and food company of the Aboitiz Group.In the Philippines, Pilmico is an industry leader in the flour and animal feed manufacturing sectors and a top pork meat supplier. Its four divisions, Flour, Feeds, Farms, and Trading, enable the growth of its stakeholders through consistent quality products and...

About UsHelloConnect is a subsidiary of HelloFresh, founded to address years of challenges faced in its own customer care. Leveraging our extensive experience in developing customer care tailored to the immediate needs of HelloFresh, our solutions are hyper-focused on serving high-growth companies. Located in Manila, Philippines, we are now making this...

Roles and Responsibilities: PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work. Nurses have...

HR Benefits Coordinator/Specialist (Hybrid) Consulting & Generalist HR (Human Resources & Recruitment) About UsHelloConnect is a subsidiary of HelloFresh, founded to address years of challenges faced in its own customer care. Leveraging our extensive experience in developing customer care tailored to the immediate needs of HelloFresh, our solutions are...

Roles and Responsibilities: PH Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn't...

Full time Add expected salary to your profile for insights Participate in P&L reviews with business teams and provide inputs and clarifications on financials numbers.Helping operations team to improve efficiency and drive cost optimization by highlighting the areas with potential for cost reduction. Handle compliance related matters pertaining to PEZA, BIR...

What will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

Brand Management (Marketing & Communications) To assist the Marketing / Product Manager in developing and executing the marketing plans for the assigned brands/products. The marketing plan outlines the short-term and long-term objectives of the product category, the strategies, and specific action plans in order to achieve sales and profit objectives.To...

Healthcare Credentialing Specialist | Must have Credentialing Experience Medical Administration (Healthcare & Medical) Accesshealthcare is looking for Experienced Customer Service Representative to be part of our growing teamResponsibilitiesWork assigned Accounts Receivable accounts or denied claims accounts through the Access Healthcare or client's workflow...

Responsibilities:Provide administrative assistance such as handling phone calls, scheduling appointments, managing correspondence, and organizing files.Input, update, and maintain data in databases or spreadsheets. Ensure accuracy and completeness of data.Prepare and maintain documents such as reports, presentations, memos, and operational manuals.Assist in...

Adjudicate disability for eligibility of short and longterm benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...

Responsibilities:Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance StandardsConduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

Adjudicate disability for eligibility of short and longterm benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...

No Relocation Assistance Offered# Taguig, National Capital Region (NCR), PhilippinesWho We AreColgate-Palmolive Company is a caring, innovative growth company that is reimagining a healthier future for all people, their pets and our planet. Focused on Oral Care, Personal Care, Home Care and Pet Nutrition, we sell our products in more than 200 countries and...

No Relocation Assistance Offered# Taguig, National Capital Region (NCR), PhilippinesWho We AreColgate-Palmolive Company is a caring, innovative growth company that is reimagining a healthier future for all people, their pets and our planet. Focused on Oral Care, Personal Care, Home Care and Pet Nutrition, we sell our products in more than 200 countries and...

Data Entry Healthcare Account Medical Non Voice Posted 3 days ago and deadline of application is on 12 AugRecruiter was hiring 2 days agoJob DescriptionThe Records Reviewer is responsible for reviewing and analyzing documents pertaining to an individual, and composing accurate and complete reviews of records, either by paraphrasing or quoting the original...

Senior Recruiter for Expatriate (Mandarin) Recruitment - Internal (Human Resources & Recruitment) · Lead the recruitment efforts for both local Philippines and overseas positions, with a specific focus on candidates from Chinese, Singaporean, Malay backgrounds.· Develop strategic recruitment plans to attract top talent from targeted regions, including...