Claims Representative

A Claims Adjuster is responsible for evaluating insurance claims to determine the extent of the company's liability. This includes investigating claims, verifying coverage, negotiating settlements, and ensuring timely resolution in accordance with policy terms and company procedures. Responsibilities Review and investigate insurance claims (property, auto,...

Join Our Growing Healthcare BPO Team! Work Locations: Muntinlupa | Taguig | Quezon City | MakatiWork Setup: Onsite (RTO) | Night Shift / Graveyard Available Roles 1. RCM (AR Collections) Specialist Responsibilities: Read and interpret payment dispute contracts Handle end-to-end AR collections on the provider side (hospital) Verify claim status and collect...

Claims Analyst Position Responsibilities Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents. Report any overpayments, underpayments, and other financial irregularities related to claims. Process high-priority claims transactions, including settlements, policy closures, asset freezing, and notifying...

The International Committee of the Red Cross (ICRC) works worldwide to provide protection and humanitarian assistance to people affected by conflict and armed violence. We take action in response to emergencies and, at the same time, promote respect for international humanitarian law. We are an independent and neutral organization, and our mandate stems...

Customer Service Representative – Healthcare Account – Manila, Philippines Join to apply for the Customer Service Representative – Healthcare Account – Manila, Philippines role at Fusion CX Belize Are you a strong communicator with a genuine passion for helping others? Fusion CX is hiring Customer Service Representatives for our Healthcare Account in...

The Customer Service Agent at Insurance is responsible for handling inbound customer inquiries and providing exceptional support in the insurance industry. This role focuses on assisting customers with workers' compensation claims, specifically First Notice of Loss (FNOL) calls. The ideal candidate will have experience in customer care within the insurance...

Your next big opportunity is here. Customer Service Representatives to join our BGC team.Salary offer is up to Php 30,000 package with HMO, 14th month pay, and annual bonus.Qualifications:Atleast 2 years college experienceWith 1 year of experience in healthcare, focusing on eligibility, claims, and benefitIf you are motivated, eager to grow, and ready to be...

Job Summary Work with the project team in achieving the Master Construction Schedule. Assist Planning Head and Senior Planning Engineers in Project concerns General Responsibilities Understand work scope, quantity and familiar with logical sequences in terms of engineering, manufacturing and construction disciplines Assist Planning Head and Senior Planning...

Job Description: Respond to inbound and outbound calls, emails, and chats from patients, members, or providers. Provide accurate information about healthcare plans, coverage, claims, billing, authorizations, and medical services. Handle escalations and resolve customer concerns with empathy, accuracy, and professionalism. Qualifications: College...

Make your next big career move by applying as KMC Solutions' next CUSTOMER SERVICE REPRESENTATIVE IProvides outstanding customer service to pharmacies, physicians, health plan sponsors, and their members, beneficiaries, or employees by responding to and resolving phone inquiries related to benefit information, claims adjudication, eligibility verification,...