Claims Analyst

We're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on.Position Responsibilities:Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents.Report any overpayments,...

We’re looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on. Position Responsibilities Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents. Report any overpayments,...

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Claims Analyst We’re looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on. Position Responsibilities Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents. Report...

This Sr. Claims Analyst position is responsible for the overall review, assessment, and decision of claims.Position Responsibilities:Determine eligible benefits based on documents submitted and policy provisions.Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

MAJOR DUTIES AND RESPONSIBILITIES Checks documents received from claimant or intermediary and ensure their correctness. Evaluates each claim assigned and conduct investigation where necessary. Develops plans for investigation of claims and gather all necessary documents and information. Communicates with adjusters, claimants, the insured and other parties to...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing, and processing claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, and policies within the agreed SLAs (Service Level of Agreements)JOB QUALIFICATIONS:Graduate of Bachelor of Science in Nursing or any related medical course - FRESH GRADUATES...

REQUIREMENTS: Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services. Must know the basic insurance terms. Knowledge in Medical Billing/Claims. Experience in Revenue Cycle Management (or a part of)...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...