Claims Specialist
4 weeks ago
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. PreviewRecruitment 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
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Claims Helpdesk Specialist
4 weeks ago
Makati, Philippines AIA Hong Kong and Macau Full timeClaims Helpdesk Specialist page is loaded## Claims Helpdesk Specialistlocations: Makati, PH-AIA Philippinestime type: Full timeposted on: Posted 30+ Days Agotime left to apply: End Date: November 28, 2025 (22 days left to apply)job requisition id: JR-60902**At AIA we’ve started an exciting movement to create a healthier, more sustainable future for...
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Claims Specialist
2 weeks ago
Makati City, National Capital Region, Philippines AXA Full time ₱250,000 - ₱500,000 per yearPlease visit for more information. Acknowledge receipt of Claim requests. Upload claim documents to 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 Adheres to service standards of processing...
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Claims Specialist
3 days ago
Makati, Philippines HR Network Inc. Full timeHelp 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...
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Bilingual Claims Operations Specialist
4 weeks ago
Makati, Philippines OPENLANE Full timeBilingual Claims Operations Specialist (French-English) OPENLANE Makati, National Capital Region, Philippines Job Overview OPENLANE is looking for a Claims Operations Specialist who will primarily manage customer calls to ensure that only customers with existing arbitration cases are transferred to the Arbitration team. The role requires managing timely...
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Claims Helpdesk Specialist
2 weeks ago
Makati, PH-AIA Philippines AIA Group Full time ₱800,000 - ₱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 Handler
2 weeks ago
Makati City, National Capital Region, Philippines 7783b009-a26c-4894-aaa5-fea8a297d2d7 Full time ₱1,500,000 - ₱3,000,000 per yearInsurance Claims HandlerMakati, Manila (On-site)Global Ship Management | High-impact, fast-paced roleAre you someone who thrives in high-stakes environments and enjoys turning chaos into clarity? Do you have strong attention to detail, a knack for insurance processes, and want to step into a role where your decisions help safeguard global maritime...
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Makati, Philippines ISTA Solutions Full timeClaims Specialist | US Healthcare Insurance | Earn a 21K Signing Bonus Posted 3 days ago. Be among the first 25 applicants. ISTA Solutions , an outsourcing/offshoring company, is in search of an experienced Claims Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals...
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Experienced Medical Billing Specialist
4 weeks ago
Makati, Philippines NW Pacifica Medical Billing LLC Full timeExperienced Medical Billing Specialist Responsibilities: Examining eligibility and verifying benefits for treatments, hospitalization, and procedures. Examining patient bills for correctness and completeness, as well as gathering any missing data. In charge of collecting payments from insurance and patients for medical procedures and services. Utilizing...
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Customer Service Representative
2 weeks ago
Makati, Philippines Metacom Full timeCommon Roles in a Healthcare BPO Account 1. Customer Service Representative (CSR) Handle calls from patients or members Assist with insurance coverage, benefits, claims status, appointments, etc. Provide information about healthcare plans 2. Claims Processor / Claims Examiner Review and process insurance claims Check accuracy of patient info, billing...
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Customer Service Representative
2 weeks ago
Makati, Philippines Metacom Full timeCommon Roles in a Healthcare BPO Account 1. Customer Service Representative (CSR) Handle calls from patients or members Assist with insurance coverage, benefits, claims status, appointments, etc. Provide information about healthcare plans 2. Claims Processor / Claims Examiner Review and process insurance claims Check accuracy of patient info, billing codes,...