Claims Validator

Overview The position is primarily responsible for overseeing the insurance claims department of the brokerage to ensure that a client's claims are verified and settled according to the committed turn-around time. The position is also responsible for negotiating with business partners, insurers, or adjusters relative to claim concerns in general. It gives...

The position is primarily responsible for overseeing the insurance claims department of the brokerage to ensure that a client's claims are verified and settled according to the committed turn-around time. The position is also responsible for negotiating with business partners, insurers, or adjusters relative to claim concerns in general. It gives further...

JobDescription The Claims Analyst – Professional Billing (PB) is responsible for analyzing, auditing, and resolving claims related to professional (physician and ancillary) services to ensure accurate billing, coding, and reimbursement. This position plays a key role in supporting the revenue cycle by reviewing claim accuracy, identifying trends or...

YOUR ROLEReceive, review, and assess non-life insurance claims (e.g., motor, property, casualty, marine, etc.).Verify the validity and completeness of claim documents and policy coverage.Coordinate with policyholders, agents, adjusters, and service providers for claim investigations and assessments.Prepare and recommend claim settlements within authority...

Short Description:Review and verify the accuracy and completeness of submitted medical claims, including patient information, provider details, services rendered, and billed amounts.Assess the coding accuracy of diagnoses, procedures, and services according to industry-standard code sets such as ICD-10, CPT, and HCPCS.Determine the eligibility of claims...

Company: Simon Agribusiness CorporationOffice Address: 820 Romualdez St. Ermita, ManilaBENEFITS OVERVIEW:Fully subsidized HMO and Accident insurance coverages20-day cash-convertible leave creditsFree accommodationFree lunch on working daysMeal Allowance on field workQUALIFICATIONS:Graduate of any business-related or automotive course.No prior experience...

The RequirementsBachelor's degree required, preferably in a program with heavy emphasis on mathematics or business2-5 years' work experience either in an insurance company or an outsourcing company doing life and/or health insurance operations processes (e.g. policy administration, renewals, claims, enrolment)Previous benefits or insurance or claims...

POSITION OVERVIEWClaims Processors are involved in managing a claim from beginning through to settlement. They ensure that claims are handled efficiently and that payment for valid claims is made to their policyholders. Claims Processors decide on the extent and validity of a claim by checking for any potential fraudulent activity. They liaise with external...

What We DoThe International Committee of the Red Cross (ICRC) works worldwide to provide protection and humanitarian assistance to people affected by conflict and armed violence. We take action in response to emergencies and, at the same time, promote respect for international humanitarian law. We are an independent and neutral organization, and our mandate...

Work Arrangement: Fully Remote – Working 9:00 AM – 5:00 PM ESTJob Type: Independent Contractor, Full-timeWork Schedule: Monday to Friday | 9:00 AM – 5:00 PM ESTLocations: LATAM: Mexico City (Mexico), Bogotá (Colombia), São Paulo (Brazil), Buenos Aires (Argentina)Philippines: Manila, Cebu, Davao — with reliable MST overlapAbout Pearl Talent:Pearl...