Claims Operations Analyst

We are seeking a detail-oriented and analytical Data Analyst – Claims to join our team. The ideal candidate will be responsible for analyzing claims data, identifying trends and anomalies, and providing actionable insights to improve operational efficiency, reduce costs, and enhance customer outcomes. This role bridges data analytics with claims...

Overview On-site - Quezon City Fresh Graduate/Student Diploma Full-time HR Officer P and I Claims Management Inc. Job Description Reports directly to the Head of Operation Analyze and evaluate the claims based on the relevant documents submitted to determine whether the claims are valid, and to establish the party liable. Prepares full report for the Head of...

Job OverviewA claims analyst is responsible for reviewing and evaluating customer claims, ensuring accuracy, eligibility, and compliance with company policies.Key ResponsibilitiesReview and evaluate customer claims submitted through various channels.Investigate claims to determine validity and eligibility based on company policies and procedures.Gather and...

Job OverviewWe are seeking a highly skilled Medical Claims Analyst to join our team. This individual will be responsible for maximizing insurance reimbursement for healthcare practice owners.The ideal candidate will have experience in US-based AR follow-up and charge and payment posting, with knowledge of ICD-10, CPT, and HCPC.Key ResponsibilitiesMaximize...

Job Title:Medical Claim AnalystAbout the Position:A highly skilled Medical Claim Analyst is sought after to maximize insurance reimbursement for healthcare practice owners by identifying opportunities for improvement in claims processing and follow-up.Key Responsibilities:Maximize insurance reimbursement by analyzing medical insurance claim denials,...

ClinicMind, a leading Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services provider, is seeking a Medical Claims Analyst. If you're passionate about maximizing insurance reimbursement for healthcare practice owners, this could be the perfect opportunity.ResponsibilitiesMaximize insurance reimbursement for healthcare...

Job DescriptionA claims professional is responsible for reviewing and evaluating customer claims to ensure their accuracy, eligibility, and compliance with company standards.Duties and ResponsibilitiesAnalyze and investigate customer claims submitted through various channels.Evaluate claim validity based on company policies and procedures.Gather and analyze...

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...

Responsibilities Updates claims database every time processed claims have new status; Processes all received claims; Coordinates with Medical Underwriting Consultant claims that needs medical expert opinion; Attends to agents and clients queries regarding status of their claims; Performs other tasks as required by immediate superior and/or higher Management....

Job Overview:A Quality Analyst is responsible for auditing claims to ensure compliance with operational guidelines and internal policies.Key Responsibilities:Conduct thorough audits of claims to assess compliance with operational standards and internal policies.Analyze claims documentation to identify discrepancies, errors, and opportunities for improvement...