Claims Processor
4 weeks 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
-
Provider Dispute Claims Processor
2 weeks ago
Makati City, National Capital Region, Philippines a7e6c6e3-79f5-4249-b203-b473e4e2f293 Full time ₱360,000 - ₱600,000 per yearProvider Dispute Claims Processor | Urgent HiringWork Set-Up: In-Office Training Required | Potential for Remote Work After TrainingLocation: Makati, ValeroExpected Start Date: December 8, 2025Position Summary:We are seeking an experienced Provider Dispute Claims Processor to join our growing healthcare team. This role is responsible for reviewing,...
-
Provider Dispute Claims Processor
2 weeks ago
Makati City, National Capital Region, Philippines Imagenet, LLC Full time ₱144,000 - ₱384,000 per yearWork Set-Up: In-Office Training Required | Potential for Remote Work After Training)Location: Makati, ValeroExpected Start Date: December 8, 2025Your next career move starts here – submit your application todayPosition Summary:We are seeking an experienced Provider Dispute Claims Processor to join our growing healthcare team. This role is responsible for...
-
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...
-
claims processor
2 weeks 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...
-
Medical Claims Processor
2 weeks ago
Makati, Philippines InLife Health Care Full timeJob Purpose Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements) Requirements Graduate of Bachelor of Science in Nursing or any related medical course (FRESH GRADUATES ARE...
-
medical claims processor
2 weeks 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...
-
Health Claims Officer
2 weeks ago
Makati City, National Capital Region, Philippines AXA Full time ₱1,200,000 - ₱2,400,000 per yearEstablished in 1999, AXA Philippines is one of the largest and fastest growing life insurance companies in the country. It offers financial security to more than one million individuals through its group and individual life insurance as well as general insurance products through its subsidiary Charter Ping An.AXA Philippines is one of the first to introduce...
-
Health Claims Officer
2 weeks ago
Makati City, National Capital Region, Philippines AXA GROUP Full time ₱900,000 - ₱1,200,000 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...
-
BPO Healthcare Claims Processor – Day 1 HMO
4 weeks 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....
-
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...