Claims Analyst

Responsibilities: Handle the full life cycle of motorinsurance claimsfrom initial assessment and documentation to final settlement. Verify coverage, calculate claim amounts, and authorize payments within delegated authority. Identify claims with subrogation or thirdparty recovery potential and refer them to the Recovery Unit. Detect red flags during claim...

We're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on.Position Responsibilities: Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents.Report any overpayments,...

A Claims Analyst, takes calls from customers answering questions or addressing any concerns they may have. Their duties include handling many inbound and outbound calls to and from customers, listening to customers needs or issues and providing helpful solutions to their problems. Job Responsibilities Take customer calls and provide accurate, satisfactory...

YOUR 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...

We are seeking a highly analytical and detail-oriented IT Business Analyst to join our dynamic team. The role is pivotal in driving insurance product enhancements, process optimizations, and system implementations, ensuring that each initiative is strategically designed, thoroughly tested, and successfully deployed within our core insurance platform. The...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing, and processing claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, and policies within the agreed SLAs (Service Level of Agreements)JOB QUALIFICATIONS:Graduate of Bachelor of Science in Nursing or any related medical course - FRESH GRADUATES...

Job Title: IT Business Analyst Employment Status: Full-time Work Location: Alabang (On-site) Work Shift: Day Shift (Mondays to Fridays) Salary Range: PHP 50,000 Recruitment Process: Online Application Only About the Role We are seeking a highly analytical IT Business Analyst to join our growing team. The role is vital in bridging business objectives with...

Job Title: IT Business Analyst Employment Status: Full-time Work Location: Alabang (On-site) Work Shift: Day Shift (Mondays to Fridays) Salary Range: PHP 50,000 Recruitment Process: Online Application Only About the Role We are seeking a highly analytical IT Business Analyst to join our growing team. The role is vital in bridging business objectives...

REQUIREMENTS: Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services. Must know the basic insurance terms. Knowledge in Medical Billing/Claims. Experience in Revenue Cycle Management (or a part of)...

About the job Medical Billing Quality Analyst Designation Quality Analyst Job Level Intermediate Department Medical Billing/AR Reporting to Senior Operations Manager PURPOSE OF THE POSITION The Quality Analyst (QA) in the Healthcare Accounts Receivable (AR) and Medical Billing team plays a critical role in maintaining service excellence by ensuring...