Life And Health Claims Officer

Life And Health Claims Officer jobs in Makati

• Postings include various life and health claims roles in Makati and nearby areas with responsibilities spanning claims processing, leadership in claims teams, and senior management in claims operations.

Insurance Adjuster

Posted today

• Graduate of Accountancy
• Computer literate
• Good moral character
• Proficient in oral and written English communication
• Willing to travel
• Willing to undergo training

Senior Manager, Claims Technical Management

Posted today

Job Description

• Roles and Responsibilities:
• Performance management
• Ensure claims are processed timely and with clear, concise, customer-friendly communications
• Data governance, data privacy and regulatory compliance in claims processing
• Plan, schedule, supervise and control work operations within the team
• Review and decide on complex cases within authority
• Serve as claims fraud manager; identify and report potential fraud
• Monitor TATs and SLAs; identify bottlenecks and suggest improvements
• Recommend administrative and operational changes to improve processing and manpower utilization
• Review, edit, approve letters and documents related to claims
• Conduct closed-file reviews and recommend actions

• Customer and Distributor Satisfaction
• Resolve complaints; train distributors when needed
• Respond to emails and escalations promptly

• People management and development
• Provide performance feedback; evaluate probationary/regular performance
• Conduct learning sessions; define performance goals
• Drive engagement; assist leadership with action plans
• Participate in case analysis for executive decisions
• Review and improve claims processes; develop adjudication manuals

• Projects and initiatives
• Provide process owner input to company initiatives
• Support automation initiatives; define requirements and test enhancements
• Other duties as assigned

• Qualifications
• College graduate in any course
• At least 5 years of experience managing a team of claim assessors
• Experience in automation and process improvement
• Attention to detail
• Excellent written and oral communication in English and Filipino
• Proficient in MS Office

Digital Asset Management and Claims Librarian

Posted today

Job Description

Ascendion Philippines is hiring for Digital Asset Management and Claims Librarian.

Position: Digital Asset Management and Claims Librarian

Set up: Hybrid (Monday-Friday)

Work Location: Paranaque, City Philippines

To apply, send your resume or share your contact details.

• Experience in Gen AI
• Adobe Experience Manager (AEM) experience
• 3-4 years of relevant experience
• Familiarity with Veeva Vault Promomats or similar CMS
• Knowledge of pharmaceutical regulations (FDA, EMA)
• Strong understanding of metadata, taxonomy, and workflow management
• Library Services/Management skills and related experience
• Strong organizational and time management
• Excellent written and verbal communication
• Ability to work independently in a hybrid environment
• Experience in digital asset management is a plus

CSR (Claims Processing – Healthcare) - 30k Sign-On Bonus

Posted 1 day ago

Job Description

BGC, Taguig | On-site | Blended Ops (Voice + Back Office)

Full-time | ₱25,000 – ₱40,000 + 30,000 Sign-On Bonus

Target Start Date: September 1

What You'll Do

• Handle claims processing tasks with accuracy and efficiency
• Manage inbound/outbound calls and back-office tasks
• Provide excellent care and support to healthcare customers
• Ensure timely resolution of cases per compliance standards

What We're Looking For

• Minimum Education: High School Graduate (SHS and college graduates welcome)
• Experience: At least 18 months of BPO international voice experience
• Claims processing or care management background is a plus
• Comfortable with voice and back-office tasks
• Strong communication and attention to detail
• Salary varies by experience; sign-on bonus of 10,000 – 40,000
• Night differential and other benefits
• Walk-in applications accepted

Job Types: Full-time, Permanent

• Additional leave
• Company Christmas gift
• Health and life insurance
• Promotion opportunities
• Paid training

Senior Accounts Management Specialist, Claims Settlement Department

Posted 1 day ago

Location: Makati City, National Capital Region

Salary: From Php 37,317.00 per month

Job Description

• Place of Assignment: Claims Settlement Department
• Job Grade: 9; Eligibility: Career Service Professional/Second Level
• Education: Bachelor’s degree relevant to the job
• Experience: Two years in claims settlement operations
• Role: Administrative and technical support in claims operations; monitor payments; generate reports

• Key Competencies
• Core: Collaboration, Service Orientation, Professionalism, Continuous Learning
• Technical: Payout and Reconciliation, Data Management

• Opportunities for promotion

Insurance - Claims, Senior Manager

Posted today

Job Description

• Senior manager for medical claims
• 5+ years in claims management; experience in HMO or insurance preferred
• Knowledgeable in claims management and HMO processes
• Willing to work in Makati City

Team Manager - Disability Insurance Claims

Posted today

Job Description

Role: Team Manager - Disability Insurance Claims

Location: Taguig or Davao

Start Date: Sept. 15

Relocation allowance: 26k one-time; 30 days accommodation

• Establish and maintain communication with clients/team; resolve issues
• Develop data-driven strategies and reports
• Identify training needs; ensure understanding of insurance and medical terminologies
• Collaborate with stakeholders; ensure process compliance
• Lead process improvements; ensure staff capabilities

Qualifications

• Bachelor’s degree preferred
• 2+ years in a leadership role
• Experience in Disability Insurance programs
• Healthcare/Insurance experience required
• Familiarity with FINEOS is a plus
• Strong analytical and leadership skills
• MS Office proficiency

Claims Officer

Posted today

Job Description

• Benefits: 13th/14th month, yearly bonus, retirement and group life insurance
• Hybrid work setup after 6 months

Role: Claims Officer

Responsibilities include processing medical claims within SLA, using client databases, and ensuring accurate payments per policy terms and tariffs

• Examine and process claims within SLA; ensure customer satisfaction
• Use client database for reporting workload
• Support department productivity and cost containment
• Address duplicate payments, overbilling, upcoding, and potential fraud
• Respond to customer inquiries professionally

Requirements

• 1-2 years of medical claims experience
• MS Office proficiency
• Customer-focused; strong interpersonal and accuracy skills
• Team player; able to work with deadlines
• Willing to work onsite in Makati for 6 months; hybrid thereafter
• Willing to work shifts and Philippine holidays

Locations

Be the first to know about Life and Health Claims Officer jobs in Makati. Location coverage includes Makati, Taguig, Paranaque, Antipolo, and other sites as listed.

#J-18808-Ljbffr

---