Claims Processor
3 days ago
Overview The position is responsible for processing insurance claims accurately and quickly through industry approved claims processing. The job may also entail various claims investigation elements and may involve field work from time to time. Responsibilities Data entry - receives claims documents from clients and books the same to the claims monitoring system, updating the system on a regular basis (for settled/denied claims) Document verification - verifying claims documents submitted in support of the claim to check the authenticity of documents. Claim verification - personal visit to claimants to check and assess the claim Other tasks to be assigned from time to time Minimum Requirements Candidate must possess at least Bachelor\'s/College Degree in any field. At least 1 Year(s) of working experience in the related field is required for this position. Preferably with background in Non-life Insurance Knowledgeable in Microsoft office program (Excel, Word, etc) With good communication skills #J-18808-Ljbffr
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Provider Dispute Claims Processor
2 weeks ago
Makati City, National Capital Region, Philippines Imagenet, LLC Full time ₱1,500,000 - ₱3,000,000 per yearJob Title: Provider Dispute Claims Processor | In-Office Training Required | Potential for Remote Work After TrainingExpected Start Date: September 22Salary: up to Php 35,000Position Summary:We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, and resolving provider disputes in compliance with...
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Provider Dispute Claims Processor
1 week ago
Makati City, National Capital Region, Philippines Imagenet Phils., Inc. Full time ₱35,000 per yearJob Title: Provider Dispute Claims Processor | In-Office Training Required | Potential for Remote Work After TrainingExpected Start Date: September 22Salary: up to Php 35,000Position Summary:We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, and resolving provider disputes in compliance with...
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Claims Processor
2 weeks ago
Makati, Philippines Dempsey Resource Management Inc. Full timeReview and process medical claims submitted by members or healthcare providers. Check documents for completeness, including medical abstracts, itemized statements, and official receipts. Verify member eligibility, benefits coverage, and policy limits. Apply appropriate coding and benefits computation based on the member’s plan and HMO rules. Bachelor’s...
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claims processor
1 week ago
Makati City, National Capital Region, Philippines Global Quest Consulting Group, Inc. Full time ₱250,000 - ₱350,000 per yearDate Posted: April 4, 2022Job Location: Makati CityJob Description:Job Description:Checks completeness of required documentsProcess all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper...
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Claims Processor
1 week ago
Makati City, National Capital Region, Philippines Global Quest Consulting Group, Inc. Full time ₱250,000 - ₱500,000 per yearDate Posted: December 23, 2021Job Location: Makati CityJob Description:Job Description:Checks completeness of required documentsProcess all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper...
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Claims Specialist
2 weeks ago
Makati, Philippines Dempsey Resource Management Inc. Full timeResponsibilities Review and process medical claims submitted by members or healthcare providers. Check documents for completeness, including medical abstracts, itemized statements, and official receipts. Verify member eligibility, benefits coverage, and policy limits. Apply appropriate coding and benefits computation based on the member’s plan and HMO...
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medical claims processor
1 week ago
Makati City, National Capital Region, Philippines Global Quest Consulting Group, Inc. Full time ₱15,000 - ₱30,000 per yearDate Posted: August 23, 2019Job Location: Makati CityJob Description:check completeness of required documentsensure that all medical for check payment request has secured proper approval.conducts routine reconciliation of outstanding accounts with providers.ensure that all medical claims documents are properly filed and labeled.perform other duties maybe...
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Health Claims Officer
2 days ago
Makati City, National Capital Region, Philippines AXA Group Full time ₱1,500,000 - ₱2,500,000 per yearJob Description:Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service. Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and action plans of the department according to goals ( KPI ) for the...
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Health Claims Officer
4 days ago
Makati City, National Capital Region, Philippines AXA Full time ₱800,000 - ₱1,200,000 per yearMAKATI CITY, PH, 9999CLAIMS AND ASSISTANCE250005YEJob DescriptionJob Description:Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service.Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and...
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BPO Healthcare Claims Processor – Day 1 HMO
5 days ago
Makati, Philippines Optum, a UnitedHealth Group Company Full timeROLE AND RESPONSIBILITIES Responsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or trends and exercise independent decision making to determine appropriate follow-up....
