Claim Assistant

3 days ago

Cebu City, Philippines Access Care Proactive Health Full time

Job Title: Claims Specialist Location: Onsite – Cabancalan, Mandaue City, CebuSchedule: Monday to Friday | Shifting schedule (mostly 8:00 PM – 5:00 AM )Employment Type: Full-time About the Role We are looking for a highly organized and detail-oriented Claims Specialist to join our healthcare operations team. This role ensures that all insurance claims are submitted accurately, on time, and in compliance with each insurer’s requirements. The ideal candidate is proactive, analytical, and able to work under pressure in a fast-paced environment while collaborating with clinical and administrative teams. Key Responsibilities Claims Preparation & Submission Process and submit claims to all affiliated insurance partners promptly and accurately after each service or event. Review claim information to ensure data accuracy, complete documentation, and compliance with insurance requirements. Verify that the provider is credentialed and in-network prior to claim submission to avoid denials or payment delays. Eligibility Verification & Documentation Management Check and validate patient eligibility and benefits prior to the date of service. Ensure that all necessary supporting documents—including Dental Notes, X-rays, treatment plans, and patient forms —are collected and properly uploaded to the system. Monitor real-time document completion during the event day to guarantee smooth claim processing. Follow-Up & Patient Coordination Contact patients with pending cash payments or balances and coordinate collection or payment follow-up. Address inquiries related to billing, coverage, or claim status with professionalism and clarity. Communicate with providers or internal teams regarding missing or incomplete information needed for claim completion. Data Management & Reporting Maintain detailed and updated records of all submitted, pending, and paid claims in company databases. Prepare summary reports and update dashboards for management review. Track claim performance, reimbursement timelines, and patterns of denials to support process improvements. Team Collaboration & Process Improvement Work closely with the clinical, finance, and operations teams to ensure claims accuracy and timely submission. Support process improvement initiatives to optimize claim turnaround and reduce rejections. Demonstrate flexibility to work across time zones and adjust to event-based schedules when needed. Qualifications Bachelor’s degree in any field (preferably in Business, Healthcare, or related disciplines). At least 1–2 years of experience in claims processing, insurance billing, or healthcare administration. Strong attention to detail with the ability to manage multiple priorities effectively. Excellent written and verbal communication skills. Proficiency in Microsoft Office, Google Workspace, and familiarity with CRM or claims management systems. Ability to work under pressure, meet deadlines, and collaborate effectively within a team. Why Join Us Be part of an international healthcare organization with a growing presence in the U.S., U.K., and Philippines. Enjoy a supportive and dynamic work environment where your contributions truly matter. Opportunities for learning, growth, and advancement in healthcare operations. #J-18808-Ljbffr

  • Claims Assistant

    2 weeks ago

    Makati City, Philippines North Asia Central Manpower Services Inc. Full time

    A Claims Assistant provides administrative support to a claims department, assisting with the processing and management of insurance claims. Their duties include gathering information, maintaining records, preparing reports, and communicating with stakeholders. They play a crucial role in ensuring claims are handled efficiently and accurately, supporting...

  • Claim Assistant

    2 weeks ago

    Cabancalan, Cebu, Philippines Access Care Proactive Health Full time ₱300,000 - ₱600,000 per year

    Job Title: Claims SpecialistLocation: Onsite – Cabancalan, Mandaue City, CebuSchedule: Monday to Friday | Shifting schedule (mostly 8:00 PM – 5:00 AM)Employment Type: Full-timeAbout the RoleWe are looking for a highly organized and detail-oriented Claims Specialist to join our healthcare operations team. This role ensures that all insurance claims are...

  • Claims Assistant

    4 days ago

    Makati City, National Capital Region, Philippines Global Virtuoso Full time ₱300,000 - ₱360,000 per year

    Position SummaryThe Claims Assistant provides essential support to the claims team with primary emphasis on Accounts Payable functions within the claims processing workflow. This role manages the complete lifecycle of claims handling by recording, tracking, and processing member, client, and vendor invoices regarding reimbursement for services the client...

  • Claims Assistant

    11 hours ago

    Paranaque City, Calabarzon, Philippines DSV - Global Transport and Logistics Full time ₱300,000 - ₱450,000 per year

    Job Req Number: 100975Time Type: Full TimePosition:Business Support Assistant – ClaimsSurname / Name:Department / Location:MNL ISSC - Business Support ServicesSubstitute:Line Reporting:Business Support Services Team LeaderHiring Date:TBDPurpose of the roleNew roleLast revision date: Ensuring proper execution of claims handling process within a given area...

  • Claims and Warranty Assistant

    2 weeks ago

    Quezon City, National Capital Region, Philippines Autokid Subic Trading Corporation Full time ₱250,000 - ₱500,000 per year

    Job Summary:The Claims and Warranty Assistant is responsible for assisting in the processing, monitoring, and documentation of warranty and claims transactions. This role ensures that all claims are properly validated, filed, and tracked in accordance with company policies and manufacturer guidelines, supporting efficient aftersales operations and customer...

  • Claims Assistant

    10 hours ago

    Makati City, National Capital Region, Philippines Sun Life Grepa Financial, Inc. Full time ₱120,000 - ₱180,000 per year

    JOB DESCRIPTION:Evaluates and process claims within prescribed turn around time and in accordance to standardprovisions of the Master Policy Contract.SCOPE AND RESPONSIBILITIESProcessing of ClaimsEncodes claims expense and releases benefits according the provisions of the policy.Preparation of Disbursement Request (DR)Ensures all claims are signed and...

  • Claims Assistant

    10 hours ago

    Quezon City, National Capital Region, Philippines CLIMBS Life and General Insurance Cooperative Full time ₱400,000 - ₱600,000 per year

    Receive, review, and process non-life insurance claims (e.g., fire, motor, property) by validating documents and coordinating with clients or agents for compliance.Maintain accurate and updated records of claims filed, processed, and settled, ensuring proper documentation and timely reporting.Coordinate with underwriters, adjusters, and other departments to...

  • Claims Admin Assistant

    1 week ago

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

    Posting Description:Claims Admin AssistantAon is in the business of better decisionsAt Aon, we shape decisions for the better to protect and enrich the lives of people around the world.As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues and clients succeed.What the day will look...

  • Assistant Manager-Customer Care Voice-Claims

    2 weeks ago

    Cebu City, Philippines EXL Full time

    Assistant Manager-Customer Care Voice-Claims - FNOL Join to apply for the Assistant Manager-Customer Care Voice-Claims - FNOL role at EXL We are seeking a Customer Service Representative to assist customers with their inquiries via calls, chat, and emails, encompassing generic queries, account/application status, and insurance-related concerns. The ideal...

  • Claims Assistant

    1 week ago

    Quezon City, National Capital Region, Philippines Federal Phoenix Assurance Company, Inc Full time ₱200,000 - ₱250,000 per year

    FPG Insurance has built an enviable reputation for developing customer insights that support the creation of relevant commercial and individual insurance products and solutions.Job Summary:The position is responsible in performing assigned administrative tasks following the established procedures in order to provide effective support in the treatment and...