Health Claims and Relationship Specialist

I. Work Objectives:1. Ensures efficient operation of Medical Ancillary & Support Services Division management fromeworks (claims processing, reimbursement processing and underwriter.2. Manages initiatives in enabling MASSD team to define governance for the strategic processing of the accurate and timely payment of claims.3. Keeps abreast of any changes in...

We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world. From our environmental initiatives to our community investments, we lead with values throughout our business. To help us stand out, we help you step up, because when colleagues are healthy, respected and...

Report directly to the head of Operation. Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable. Prepares full report for the Head of Operations based on the result of the analysis and evaluation of the documents with recommendation on whether the claims are for...

Report directly to the head of Operation. Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable. Prepares full report for the Head of Operations based on the result of the analysis and evaluation of the documents with recommendation on whether the claims are for...

Plan International Pilipinas Foundation Inc. is a local non-government, non-religious, and non-political development and humanitarian organization committed to enabling children to live free of poverty, violence, inequality, and injustice. We are committed to gender equality and actively work with and engage children, communities, other people, and...

Plan International Pilipinas Foundation Inc. is a local non-government, non-religious, and non-political development and humanitarian organization committed to enabling children to live free of poverty, violence, inequality, and injustice. We are committed to gender equality and actively work with and engage children, communities, other people, and...

Plan International Pilipinas Foundation Inc. is a local non-government, non-religious, and non-political development and humanitarian organization committed to enabling children to live free of poverty, violence, inequality, and injustice. We are committed to gender equality and actively work with and engage children, communities, other people, and...

Plan International Pilipinas Foundation Inc. is a local non-government, non-religious, and non-political development and humanitarian organization committed to enabling children to live free of poverty, violence, inequality, and injustice. We are committed to gender equality and actively work with and engage children, communities, other people, and...

Job Description:Identify and implement new claims procedures.Identify, evaluate, and resolve claims in accordance with company standards.Analyze medical claims to ensure payments are accurate.Verify documents and coordinate health care coverage for patients, including eligibility of benefits.Analyze medical records to identify pre-existing conditions or...

Reviews all claims documents and relates it to the insurance policy for complianceTasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved for the claims filed.Tasked to scan and evaluate bodily injury claims filed under the motorcar...

BAU Responsibilities:Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turn around time. Ensures that the life claims benefits are paid out in accordance with existing Philippine life insurance laws...

Job PurposeThis job is responsible for the review, analysis and/or adjudication of claims incurred by eligible members of the Client's Network to ensure that they are according to respective benefits plan, policies and standardsand maintains the records system for these claims.Duties and ResponsibilitiesEnsures accurate review of claims documents like LOA,...

Relationship ManagerDistributionPurpose of the RoleAs a Relationship Manager you will be responsible for activation, overall delivery of sales performance, drive acquisition of new business, retention of quality business of all Insurance Specialists, Relationship Managers, and joint venture partners within your span of control. Your role also entails...

Management of opening reserves, adjustments, and claims closure policy. Technical knowledge of car losses. Optimization of the expenses of external adjusters and evaluators. Agreements with suppliers and design of action plans with clear savings goals that control the growth of the average cost claim and its effect on the loss ratio.Your ProfileTBCAbout the...

Management of opening reserves, adjustments, and claims closure policy. Technical knowledge of car losses. Optimization of the expenses of external adjusters and evaluators. Agreements with suppliers and design of action plans with clear savings goals that control the growth of the average cost claim and its effect on the loss ratio.Your ProfileTBCAbout the...

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Employing Entity: Allianz PNB Life Insurance Inc. Job Type: Full-Time Employment Type: Permanent ID: 42488 Relationship Manager Distribution Purpose of the Role As a Relationship Manager you will be...

Be part of a leading financial institution. Relationship ManagerResponsibilitiesThe jobholder is primarily responsible for managing customer relationships and developing new business opportunities. The jobholder is focused on portfolio growth in a competitive environment whilst not compromising the retention of the existing customer base or service level...

JOB DESCRIPTION:Participates in strategy development meetings. Work with the Chief Medical Officer (CMO) and Deputy CMO in developing and implementing innovative procedures, regulations, and programs to improve efficiency, quality, and customer service of the Medical and Provider Services Division.Acts as co-lead in dealing with provider groups for all...

ACCOUNT SPECIALIST FOR MEDICAL AND DIAGNOSTIC MACHINERIES (Makati Area)Account Specialist (Makati Area)Fresh Graduates are welcome to APPLYBachelor's Degree (Medical Technology or any related course)Travelling throughout an assigned area. (Makati)Identify and close sales opportunities and potential projectsResponsible in the achievement of collection and...

Education:Bachelor of Science degree holder preferably ni EE, ECE, Computer Science, or Math (minor in Networking/Computer Science)Work Experience:At least three (3) years experience in selling Teleco, IT, Info Communication Technology (ICT product/solutions). Considered among the top 5% of his peers (validated through client feedback)Must Trainings:Basic...