
Claims Analyst
3 weeks ago
Monee Manila, National Capital Region, Philippines
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Responsibilities- Utilize our CRM system as the primary system for claims management and processing.
- Review and assess claims documentation for accuracy and completeness.
- Analyze coverage and liability based on policy terms and conditions.
- Determine the legitimacy of claims and identify potential fraudulent activities.
- Calculate claim payouts and ensure timely and accurate processing of claims.
- Coordinate with the Product Management Team to suggest system enhancements for claims processes.
- Support quality assurance and user acceptance testing (UAT) efforts, working with relevant stakeholders.
- Work alongside business and cross-functional teams to optimize operational processes.
- Identify opportunities for process improvements and increased efficiency.
- 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.
- Seniority level: Entry level
- Employment type: Full-time
- Job function: Finance and Sales
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