Claims Specialist

3 weeks ago


Makati, Philippines SPD Jobs Incorporated Full time

On-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, policies within the agreed SLAs (Service Level of Agreements)
  • Analyze claim submissions to verify policyholder and provider information, ensuring accuracy and completeness against submitted documentation.
  • Liaise with clients, insurance agents, beneficiaries, healthcare providers, and other departments to gather information, resolve issues, and provide updates on claim status.
  • Prepare and maintain accurate records of all claim activities and policy information, often using specialized database systems.
  • Determine policy coverage, calculate the appropriate claim amounts, and process payments or other reimbursements.
  • Ensure all claim processing activities adhere to company policies, procedures, and relevant state and federal regulations.
  • Investigate and resolve any discrepancies or issues that arise during the claim process.
Qualifications
  • Graduate of any 4-year course.
  • Fresh graduates are welcome to apply.
Preview

Recruitment Supervisor SPD Jobs Incorporated

Active within three days

Working Location

Omnis Prosperity Tower. Omnis Prosperity Tower, 379 Sen. Gil J. Puyat Ave, Makati City, Metro Manila, Philippines

If the position requires you to work overseas, please be vigilant and beware of fraud.

If you encounter an employer who has the following actions during your job search, please report it immediately

  • withholds your ID,
  • requires you to provide a guarantee or collects property,
#J-18808-Ljbffr

  • Makati, Philippines China Civil Engineering Constructions Corporation Full time

    Overview Vacancy : Senior Claims Specialist Company : CCECC-HPRB-HNRBI JOINT VENTURE (PVT) LTD Project : Port Access Elevated Highway Project (PAEH Project) Type: Full Time Job Location: Sri Lanka We are hiring an experienced and highly competent Senior Claims Specialist for our PAEH Project. Handle contract claims, variations, and disputes...

  • Claims Specialist

    3 weeks ago


    Makati, Philippines eTeam Workforce Private Corporation Philippines Full time

    Responsibilities Receive and log incoming claim documents and ensure proper filing and organization. Encode claim details accurately into the claims management system. Assist in the preparation and dispatch of claims-related correspondence (emails, letters, follow-ups). Monitor the status of submitted claims and update records accordingly. Coordinate with...

  • Claims Specialist

    4 weeks ago


    Makati, Philippines North Asia Central Manpower Full time

    Overview Provides administrative and clerical support for the claims process within an insurance company or similar organization. They handle incoming claim inquiries, manage claim files, prepare correspondence, and process payments. Their work ensures claims are processed efficiently and accurately, and they often interact with claimants, adjusters, and...


  • Makati, Philippines AIA Hong Kong Full time

    Overview 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...

  • Claims Specialist

    4 weeks ago


    Makati, Philippines Sundust Bros Corporation Full time

    Responsibilities Evaluate and process insurance claims accurately and efficiently. Communicate with clients to gather necessary information and documentation. Investigate claims to determine validity and assess damages. Collaborate with underwriters and other departments to resolve issues. Maintain detailed records of claims activities and documentation....

  • Claims Specialist

    4 weeks ago


    Makati, Philippines Stronghold Insurance Company, Inc. Full time

    On-site - Makati No Exp Required Bachelor Full-time Job Description Government Mandated Benefits Review and process insurance claims efficiently and accurately. Investigate claim details and communicate with claimants and providers. Ensure compliance with policy guidelines and regulations. Maintain organized records and documentation. Provide...


  • Makati City, National Capital Region, Philippines AIA Australia Full time ₱900,000 - ₱1,200,000 per year

    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 need ambitious...

  • Claims Officer

    4 weeks ago


    Makati, Philippines myGwork - LGBTQ+ Business Community Full time

    Join to apply for the Claims Officer role at myGwork - LGBTQ+ Business Community 1 day ago Be among the first 25 applicants Join to apply for the Claims Officer role at myGwork - LGBTQ+ Business Community Get AI-powered advice on this job and more exclusive features. This job is with AXA Investment Managers, an inclusive employer and a member of myGwork...

  • Claims Specialist

    4 weeks ago


    Makati, Philippines HR Network Inc. Full time

    Help ensure smooth and efficient processing of insurance claims. This role supports the claims team with documentation, investigation, and customer communication. -Input and organize claim information accurately in the system -Collect and file needed documents (e.g. receipts, medical reports) -Help review claims for errors or missing info -Assist with...

  • Claims Specialist

    4 weeks ago


    Makati, Philippines AXA Full time

    Job Responsibilities Acknowledge receipt of claim requests. Upload claim documents to the case in the health claims system. Validate claim details in the health claims system. Update claim status and notes in the health claims system. Update TPA file for endorsement to Claims Control Team. Adhere to service standards of processing administrative requests....