Claims Officer
2 weeks ago
Job Responsibilities Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit claims within his/her approval limit and agreed turnaround time. Ensure that life claims benefits are paid in accordance with Philippine life insurance laws and statutes. Assist in resolving complex claims cases and formulate appropriate claims recommendations or decisions requiring technical claims knowledge. Proactively manage and ensure timely resolution of customer and distributor claims-related issues, including those raised through platforms like SCRM and AXA Angels. Ensure that claims-related communications to internal and external stakeholders are appropriate and timely, and assist in updating communication templates for consistency across platforms. Candidate Attributes Preferably a graduate of a medical or allied medical degree. At least 2 years of experience in life, health, and medical claims adjudication. Excellent written and oral communication skills, capable of articulating insurance terms and explaining claims decisions effectively. Detail-oriented, highly organized, a team player, and able to work independently. Good knowledge of insurance operational processes. Customer-centric with a strong 'Customer First' mindset. High integrity and professionalism. Pleasant, patient, friendly, sociable, and able to relate well with colleagues from diverse backgrounds. Strong negotiation and influencing skills. About the Company AXA SA is a French multinational insurance firm. #J-18808-Ljbffr
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Claims Officer
1 week ago
Makati, Philippines myGwork - LGBTQ+ Business Community Full timeJoin to apply for the Claims Officer role at myGwork - LGBTQ+ Business Community 1 day ago Be among the first 25 applicants Join to apply for the Claims Officer role at myGwork - LGBTQ+ Business Community Get AI-powered advice on this job and more exclusive features. This job is with AXA Investment Managers, an inclusive employer and a member of myGwork –...
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Claims Officer
2 weeks ago
Makati City, National Capital Region, Philippines Allianz PNB Life Insurance, Inc. (formerly PNB Life Insurance Inc.) Full time ₱900,000 - ₱1,200,000 per yearBENEFITS/PERKSCompetitive Salary13th and 14th month guaranteedPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceHybrid Work Set-up after 6 months of employmentJOB DETAILS / ROLE PURPOSEThe role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service...
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Claims Officer
2 weeks ago
Makati City, National Capital Region, Philippines Yapster e-Conglomerate, Inc. Full time ₱360,000 - ₱540,000 per yearPolaris Reinsurance Brokers, Inc. is a licensed professional reinsurance brokerage firm in the Philippines dedicated to providing innovative and reliable risk management solutions.With deep industry knowledge and strong relationships with both local and international reinsurers, Polaris Reinsurance delivers customized reinsurance programs designed to...
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Claims Adjuster
1 week ago
Makati, Philippines Stronghold Insurance Company, Inc. Full timeOn-site - Makati 1-3 Yrs Exp Bachelor Full-time Job Description Receive and review claims documents and coordinate with claimants Interview claimant(s) and/or witnesses to gather pertinent information Conduct an actual investigation or inspection to determine the veracity of the loss and the extent of the insurance company's liability concerning personal,...
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Health Claims Officer
1 week ago
Makati, Philippines Hunter's Hub Inc. Full timeOverview As the Health Claims LO you will be assigned to different hospitals across the county and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for hospitalized clients. Responsibilities Assessment / adjudication of...
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Claims Specialist
1 week ago
Makati, Philippines North Asia Central Manpower Full timeOverview Provides administrative and clerical support for the claims process within an insurance company or similar organization. They handle incoming claim inquiries, manage claim files, prepare correspondence, and process payments. Their work ensures claims are processed efficiently and accurately, and they often interact with claimants, adjusters, and...
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Claims Specialist
1 week ago
Makati, Philippines Sundust Bros Corporation Full timeResponsibilities Evaluate and process insurance claims accurately and efficiently. Communicate with clients to gather necessary information and documentation. Investigate claims to determine validity and assess damages. Collaborate with underwriters and other departments to resolve issues. Maintain detailed records of claims activities and documentation....
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Claims Specialist
1 week 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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claims manager
4 days ago
Makati City, National Capital Region, Philippines MANILA BANKERS LIFE INSURANCE CORP Full time ₱1,500,000 - ₱2,500,000 per yearAbout the role This full-time Claims Manager role at MANILA BANKERS LIFE INSURANCE CORP' in Makati City Metro Manila is an exciting opportunity to join a leading insurance provider. As Claims Manager, you will be responsible for overseeing the efficient and effective processing of insurance claims to provide high-quality service to our customers.What you'll...
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Claims Specialist
2 weeks 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...