Claims Analyst

16 hours ago


Manila, Philippines Monee Full time

Monee Manila, National Capital Region, Philippines

Join or sign in to find your next job

Join to apply for the Claims Analyst - SeaInsure role at Monee

Get AI-powered advice on this job and more exclusive features.

Responsibilities
  1. Utilize our CRM system as the primary system for claims management and processing.
  2. Review and assess claims documentation for accuracy and completeness.
  3. Analyze coverage and liability based on policy terms and conditions.
  4. Determine the legitimacy of claims and identify potential fraudulent activities.
  5. Calculate claim payouts and ensure timely and accurate processing of claims.
  6. Coordinate with the Product Management Team to suggest system enhancements for claims processes.
  7. Support quality assurance and user acceptance testing (UAT) efforts, working with relevant stakeholders.
  8. Work alongside business and cross-functional teams to optimize operational processes.
  9. Identify opportunities for process improvements and increased efficiency.
Requirements
  • A Bachelor’s Degree in Finance, Commerce, or any medical field.
  • Minimum of 1 year of experience in a Life / general Insurance firm.
  • Good understanding of the local life and health insurance product market.
  • Understanding of health-related claims and Filipino health service systems.
  • Good understanding of local regulatory requirements, particularly from a claims perspective.
Additional Information
  • Seniority level: Entry level
  • Employment type: Full-time
  • Job function: Finance and Sales
#J-18808-Ljbffr
  • Claims Analyst

    2 weeks ago


    Manila, National Capital Region, Philippines DOXA Talent Full time ₱800,000 - ₱1,200,000 per year

    ROLE SUMMARYOur client is seeking a Claims Analyst, who will support their risk management and legal functions. This position is responsible for collecting and processing claims-related data, preparing reports, and assisting in the development and analysis of risk management practices. In addition, this role will also handle documentation, assist on projects...


  • Manila, National Capital Region, Philippines Damage Control Project Management Full time A$104,000 - A$130,878 per year

    Client-Side Project Management Consultancy – Natural Disaster RecoveryWork from Home – Australia BasedWe are specialist client-side project management consultancy firm delivering critical infrastructure and recovery support for natural disaster events across Australia. We are currently seeking aFinance and Claims Analystto join our remote team on a...


  • Manila, National Capital Region, Philippines ECLARO Full time $40,000 - $80,000 per year

    Role Title: Claims Operations Analyst – Commercial InsuranceWork Arrangement: Full OnsiteLocation: Commonwealth, Quezon City or BGC, TaguigSchedule: Night ShiftECLARO:A quick summaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are...


  • Manila, National Capital Region, Philippines beBeeAnalytic Full time ₱7,200 - ₱7,800

    Claims Analyst Job SummaryWe are seeking a meticulous and detail-oriented Claims Analyst to review and evaluate claims submitted by customers, ensuring their accuracy and eligibility.Key Responsibilities:Examine customer claims submitted through various channels for accuracy and compliance with company policies.Investigate claims to verify validity and...


  • , Metro Manila, Philippines ECLARO Full time

    Claims Operations Analyst - Commercial Insurance ECLARO National Capital Region, Philippines Claims Operations Analyst - Commercial Insurance ECLARO National Capital Region, Philippines 2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from ECLARO Role Title: Claims...


  • Manila, National Capital Region, Philippines beBeeClaims Full time $85,000 - $110,000

    Job Title: Claims Operations AnalystThis role is responsible for managing the claims process from intake to closure. The ideal candidate will have excellent organizational and communication skills, with the ability to work independently and as part of a team.Key Responsibilities:Manage the claims email box and respond to queries in a timely mannerSet up...


  • Manila, National Capital Region, Philippines beBeeClaims Full time $60,000 - $72,000

    We are seeking a detail-oriented and analytical Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for maximizing insurance reimbursement for healthcare practice owners by identifying root causes of claim denials, underpayments, or delays and proposing effective resolutions.ResponsibilitiesBetter manage...


  • Manila, National Capital Region, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

    We are seeking a Utilization Review professional to fulfill a key role within our organization.Job OverviewThe ideal candidate will possess an active PHRN and USRN Mainland License, with at least one year of bedside experience preferably in UR/UM. The selected individual will assess and interpret customer needs, requirements and medical records, reviewing...

  • Deduction Analyst

    10 hours ago


    Manila, Philippines AIMI Full time

    WORK FROM HOME (Equipment is provided) Schedule: Night Shift (10PM – 7AM PHT) Type: Full-time QUALIFICATIONS: Associate’s Degree or 2–3 years related experience (Accounting/Finance preferred) At least 2 years of experience as a Deduction Analyst Hands-on experience in Accounts Receivable (AR), Accounts Payable (AP), and Revenue Recognition Experience...

  • Process Analyst

    2 weeks ago


    Manila, National Capital Region, Philippines WHR Global Consulting Full time ₱900,000 - ₱1,200,000 per year

    WHR Global Consulting is hiring a Full time Process Analyst role in Taguig, NCR. Apply now to be part of our team.Job summary:Looking for candidates available to work:Monday: MorningTuesday: MorningWednesday: MorningThursday: MorningFriday: Morning2-3 years of relevant work experience required for this rolePosition Title: Claims Assistant (Non-motor...