Claims Director

We're Hiring: Operations Director - Fraud and Claims We are seeking a seasoned Operations Director to lead our Fraud and Claims department. The ideal candidate will possess extensive experience in fraud prevention, claims management, and operational excellence. This role requires strategic thinking, leadership skills, and a proven track record of enhancing...

At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. And we build on this every day with our ambition to engage one billion people to live Healthier, Longer, Better Lives by 2030.And to get...

Medical Director for Life Insurance Pru Life UK – Taguig, National Capital Region, Philippines 1 day ago – Be among the first 25 applicants Key Functions Review, accreditation, and quality control of medical service providers Supports NBU in gathering information for medical analysis to determine eligibility for insurance Desired Outcomes Accurate,...

Overview Role: Insurance Senior Risk Analyst Location: Taguig, National Capital Region, Philippines Responsibilities Assist with the renewals of S&P Global's Property, Casualty, Umbrella Liability, Errors & Omissions Liability, Directors & Officers Liability, Fiduciary Liability and Cyber-risk renewals. This involves compiling underwriting data,...

Job Purpose:What does the job do for the Company?Review, accreditation, and quality control of medical service providersSupports NBU in gathering information for medical analysis in order to determine eligibility for insuranceWhat end result does it produce?Accurate, consistent, and timely results and customer service rendered by accredited medical service...

Project Manager (Healthcare | Digital)At Orchard, we rally around a single purpose: to invent better outcomes through creativity, strategy and technology. Those better outcomes can only exist in the context of people irrespective of if we label them users, customers, patients, clients or even staff.The OpportunityWe're currently on the lookout for a talented...

JOB DESCRIPTION:Grievance & AppealsCreates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.Creates a detailed case summary in narrative format for each appeal.Submits cases as directed for each applicable geographic region.Presents verbal and written case...

Consumer Relations Advisor plays a pivotal role in delivering exceptional consumer service through various communication channels, including phone, email, and chat. This role involves addressing consumer inquiries, providing information about products and services, and resolving basic issues efficiently and effectively. The Advisor will follow established...

Position Title:Nurse Medical Mgmt I (PHL)Shift:Job Description:Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient...

Position Title:Nurse Medical Mgmt IShift:Job Description:Responsible for collaborating with healthcare providers and or members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the...