
Head of Benefit Claims
4 weeks ago
The Head of Benefit Claims will oversee the end-to-end process of Medical, Life and Non-Life Claims, ensuring timely and accurate reimbursement to our members. All Claims should be processed within the agreed turn-around-time with our corporate clients or as stated in the contract for individual clients. His/her expertise will drive process improvements, team development, and stakeholder management.
Manage the end-to-end process of medical, life and non-life claims, ensuring accuracy, efficiency, and compliance with regulations and company policies
To check / approve if adjudicated claims are based on contract provisions. To approve request for payments. To make sure that claims are paid within TAT
Monitor day-to-day performance, conduct spot audits, and ensure accurate and timely processing of claims
To see to it that reply to email inquiries are done within 24 to 48 hours for regular inquiries and within the day for urgent emails
Prepare reports and analyze data to identify trends and areas for improvements
To see to it that required reports are sent within SLA
Develop and implement strategies for efficient end-to-end claims processing, ensuring prompt resolution of escalated cases and complaints
Collaborate with medical providers, brokers, and other stakeholders to resolve complex claims
Ensure claims processes adhere to relevant laws, regulations, and industry standards
Develop and track key performance indicators (KPIs) to measure team performance and process effectiveness
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Head of Claims
3 weeks ago
Makati, Philippines Philinsure Full timeOverview Philinsure Makati, National Capital Region, Philippines Job Title: Head of Claims Department Objectives: Lead and manage the end-to-end claims process to ensure timely, fair, and efficient resolution in line with target turnaround times. Serve as the primary liaison between clients, adjusters, and insurance companies/representatives to ensure the...
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Head of Claims
3 weeks ago
Makati, Philippines Philinsure Full timeOverview Philinsure Makati, National Capital Region, Philippines Job Title: Head of Claims Department Objectives: Lead and manage the end-to-end claims process to ensure timely, fair, and efficient resolution in line with target turnaround times. Serve as the primary liaison between clients, adjusters, and insurance companies/representatives to...
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Claims Adjuster
4 weeks ago
Makati, Philippines Stronghold Insurance Company, Inc. Full timeOn-site - Makati 1-3 Yrs Exp Bachelor Full-time Job Description Receive and review claims documents and coordinate with claimants Interview claimant(s) and/or witnesses to gather pertinent information Conduct an actual investigation or inspection to determine the veracity of the loss and the extent of the insurance company's liability concerning...
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Compensation And Benefits
4 weeks ago
Makati, Philippines iEminence Inc. Full timeResponsibilities Administer and process payroll for all employees. Manage all aspects of benefits and compensation procedures. Plans and administer employee benefit programs both government mandated and company-initiated benefits, such as HMO, loans, Paid leaves, and others. Enroll employees upon entitlement to HMO, government portals and cancel employee...
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Head of Claims
4 weeks ago
Makati, Philippines Michael Page Full timeStrong Backing & Regional Presence Innovative & Customer-Centric Culture About Our Client A growing player in the non-life insurance space, backed by a reputable regional group. The company offers a range of general insurance products, with a strong focus on digitalization, customer experience, and operational excellence. It's an organization in...
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Claims Helpdesk Specialist
4 weeks ago
Makati, Philippines AIA Hong Kong Full timeOverview At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030. And to get there, we...
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Health Claims Officer
4 weeks ago
Makati, Philippines Hunter's Hub Inc. Full timeOverview As the Health Claims LO you will be assigned to different hospitals across the county and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for hospitalized clients. Responsibilities Assessment / adjudication...
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Claims Analyst
5 days ago
Makati City, National Capital Region, Philippines Pioneer Your Insurance Full time ₱300,000 - ₱600,000 per yearYOUR 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...
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Claims Helpdesk Specialist
1 week ago
Makati City, National Capital Region, Philippines AIA Australia Full time ₱900,000 - ₱1,200,000 per yearAt AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.And to get there, we need ambitious...
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Claims Specialist
3 weeks ago
Makati, Philippines SPD Jobs Incorporated Full timeOn-site - Makati Fresh Graduate/Student Bachelor Full-time Share Job Description Government Mandated Benefits Insurance Health & Wellness Professional Development Job Training Read More Responsible for analyzing, adjudicating, auditing, and processing of claims (In-Patient, Outpatient Hospital Bills and Professional Fees) according to set medical guidelines,...