Sr. Claims Analyst
7 days ago
***Nous utilisons des* *pour fournir des statistiques qui nous aident à vous offrir la meilleure expérience sur note site. Vous y trouverez des renseignements sur les témoins, ou vous pouvez les désactiver si vous préférez. Toutefois, en continuant d’utiliser le site sans modifier les paramètres, vous consentez à notre utilisation de***Sr. Claims Analyst page is loaded## Sr. Claims Analystlocations: Makati Citytime type: Temps pleinposted on: Publié aujourd'huitime left to apply: Date de fin : 3 octobre 2025 (Il reste 8 jours pour postuler)job requisition id: JR 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 time.* Ensure accurate benefit payouts and checking are being done in accordance with the policy details, laws, and regulations.* Assist the Claims Manager in resolving claims-related issues and/or concerns.* Discuss claim decisions with complaints team, distributors and/or customers whenever necessary.* Assist junior adjudicators with complex claims beyond their authorities.* Escalate possible fraudulent claims to the Team Lead and recommend appropriate action.* Maintain accurate records of claims, communications, and resolutions in the claims management system.* Actively participate in and contribute to projects and initiatives.**Required Qualifications:*** At least three (3) years’ experience in life claims processing, insurance, or a related field* Bachelor’s degree in healthcare administration, business, or a related field is preferred.* With industry certifications or exams passed (FLMI, etc.)***When you join our team:**** We’ll empower you to learn and grow the career you want.* We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.* As part of our global team, we’ll support you in shaping the future you want to see.**À propos de Manuvie et de John Hancock**La Société Financière Manuvie est un chef de file mondial des services financiers qui aide les gens à prendre leurs décisions plus facilement et à vivre mieux. Pour en apprendre plus à notre sujet, rendez vous à l’adresse .**Manuvie est un employeur qui souscrit au principe de l’égalité d’accès à l’emploi**Chez Manulife/John Hancock nous valorisons notre diversité. Nous nous efforçons d’attirer, de perfectionner et de maintenir une main d'oeuvre qui est aussi diversifiée que nos clients, et de favoriser la création d’un milieu de travail inclusif qui met à profit la diversité de nos employés et les compétences de chacun. Nous nous engageons à assurer un recrutement, une fidélisation, une promotion et une rémunération équitables, et nous administrons toutes nos pratiques et tous nos programmes sans discrimination en raison de la race, de l’ascendance, du lieu d’origine, de la couleur, de l’origine ethnique, de la citoyenneté, de la religion ou des croyances ou des convictions religieuses, du genre (y compris grossesse et affection liée à une grossesse), de l’orientation sexuelle, des caractéristiques génétiques, du statut d’ancien combattant, de l’identité de genre, de l’expression de genre, de l’âge, de l’état matrimonial, de la situation de famille, d’une invalidité ou de tout autre motif protégé par la loi applicable.Nous nous sommes donné comme priorité d’éliminer les obstacles à l’accès égalitaire à l’emploi. C’est pourquoi un représentant des Ressources humaines collaborera avec les candidats qui demandent accommodement raisonnable pendant le recrutement. Tous les renseignements communiqués pendant le processus de demande d'accommodement seront stockés et utilisés conformément aux lois et aux politiques applicables de Manuvie. Pour demander une mesure d’accommodement raisonnable dans le cadre du recrutement, écrivez à **Modalités de travail**Hybride#J-18808-Ljbffr
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Sr. Claims Analyst
7 days ago
Makati, Philippines Manulife Financial Full timeOverview This Sr. Claims Analyst position is responsible for the overall review, assessment, and decision of claims. 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 time....
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Claims Specialist
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Makati, Philippines Dempsey Resource Management Inc. Full timeResponsibilities Review and process medical claims submitted by members or healthcare providers. Check documents for completeness, including medical abstracts, itemized statements, and official receipts. Verify member eligibility, benefits coverage, and policy limits. Apply appropriate coding and benefits computation based on the member’s plan and HMO...
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Claims Analyst
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Makati City, National Capital Region, Philippines Equicom Services, Inc. Full time ₱192,000 - ₱204,000 per yearEquicom Services, Inc. is now looking for Medical Claims Analyst who can work onsite.Makati Office: 3F Equicom Center 3308 Zapote St., Brgy. Sta. Cruz, Makati City.QualificationsGraduate of any 4 year medical related courses / Undergrad atleast 3rd year levelOpen for fresh graduatesExcellent oral and written communication skillsAbility to multi-task while...
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Makati, Philippines InLife Health Care Full timeThe Sr. IT Business Analyst is tasked to deliver business solutions and process improvements that support the strategic corporate objectives by: Strategy Setting Crafts and implements the digital transformation and development vision, strategy, and roadmap, while incorporating the industries’ best practices and emerging trends. Also, maintains and...
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Sr. Claims Handler
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Makati, Philippines AXA Full timeResponsibilities: Review required documents submitted by the insured to verify the compensability of the claim. Assess parts for comparison if repairs are to be done at non-dealership/Non-Casa locations. Update correct loss reserves in SC system. Properly tag claim costs in SC system. Review final reports and recommendations from independent adjusters....
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Procurement Sr Analyst
2 weeks ago
Makati, Philippines CBRE Asia Pacific Full timeAbout the Role As a CBRE Procurement Sr Analyst, you will design, evaluate, and provide complex reports based on the collection of data related to the sourcing, contracting, management, and performance of suppliers and vendors. What You’ll Do Design, generate, review, and implement reports to support account, client, and global sourcing requirements....