Claims Coordinator

**Job Overview**Nabati Philippines is seeking a skilled Financial Claims Coordinator to join our team. In this role, you will play a critical part in ensuring the accuracy and efficiency of our marketing data.As a Financial Claims Coordinator, you will be responsible for receiving all marketing-related claims from our branches, documenting them with the...

We are looking for a highly organized and detail-oriented Medical Claims Coordinator to support our clinical claims team. The successful candidate will be responsible for handling secondary reviews of non-approved medications and participating in continuous improvement efforts for claims accuracy.Key Requirements:Bachelor's degree in a related field2+ years...

Company OverviewTrinity Workforce Solutions is a leading provider of workforce solutions, dedicated to delivering innovative recruitment services to clients across various industries. We pride ourselves on fostering a culture of excellence, diversity, and inclusion, where employees can thrive and grow professionally.What You Will DoManage the preparation and...

About the Role:The Claims Resolution Specialist will be accountable for coordinating with insurers, policyholders, and stakeholders to resolve claims promptly. This role involves investigating and evaluating claims, gathering supporting materials, and approving or rejecting claims based on thorough analysis and policy terms.

About the RoleThe successful candidate will be responsible for coordinating the administrative aspects of PhilHealth claims processing, including scheduling, reviewing, and submitting claims in a timely manner.Key Skills and QualificationsBachelor's degree in Accounting, Business Administration, Finance, or a related field.Proficient in Microsoft Office...

COMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...

About the RoleThe Healthcare Claims Coordinator will play a vital role in ensuring the smooth operation of our dental insurance billing process. This position requires strong organizational skills, attention to detail, and effective communication with healthcare providers.Key Responsibilities:Verify patient eligibility for dental services through various...

About This RoleIn this exciting opportunity at Pioneer Your Insurance, you will play a critical role in ensuring the smooth operation of our claims process. As a Claims Processor, you will be responsible for generating reports, processing claims, and recommending approval within established turnaround times. Additionally, you will maintain strong...

The RoleWe are seeking a Claims Specialist for our Employee Benefits division who will be responsible for handling the end-to-end processing of claims, providing guidance, instruction, and direction to team members to achieve team objectives.This position will focus on medical claims as well as other insurance lines under Employee Benefits. The ideal...

Job DescriptionThe primary responsibility of this role is to oversee the reimbursement process, ensuring that medical claims are accurately and efficiently processed. This involves monitoring the performance of the reimbursement section, evaluating medical cases, and checking claims for accuracy. Additionally, the incumbent will be responsible for...

Job OverviewMaintain accurate records and communicate effectively with healthcare providers to ensure seamless claims processing.Main Responsibilities:Evaluate claims against SOB, exclusions, and policies to determine validity.Coordinate with healthcare providers for unpaid claims and reconcile discrepancies.Provide excellent customer service to healthcare...

**Job Description:**Hunter's Hub, Inc. is seeking an experienced Health Claims Officer to provide support to health clients in Metro Manila, Metro Cebu, and Davao.The ideal candidate will have a minimum of 5 years in an HMO or health insurance company and at least 3 years in a Liaison Officer role. They should possess excellent interpersonal skills,...

Job RoleWe require a skilled professional to manage and coordinate the entire claims process, ensuring accuracy, efficiency, and excellent customer service.Main Accountabilities:Ensure accurate and timely claims processing, adhering to company policies and regulatory requirements.Manage relationships with healthcare providers, addressing their needs and...

Pioneer Your Insurance is committed to providing exceptional services to our clients. As part of our team, you will have the opportunity to work on various projects, develop your skills, and grow professionally.About the Job DescriptionWe are seeking a Risk Assessment Coordinator to join our team. The ideal candidate will have a bachelor's degree in Business...

Job Description:We are seeking a highly skilled Care Coordinator to join our team at MetHealth. As a Care Coordinator, you will play a vital role in ensuring the smooth communication between patients and healthcare providers.The primary responsibilities of this position include:Documenting all communication attempts with patients and healthcare providers to...

Duties and ResponsibilitiesCoordinating closely with insurance brokers, agents, and loss adjusters.Dealing courteously with customer complaints and appeals.Working intensively on complex or fraudulent cases that require experience and specialist knowledge.Handling recovery losses under subrogation from third parties and other insurance companies.Maintaining...

The Claims Administrator role at Arch Insurance involves working closely with the Claims team to manage incoming claims-related correspondence and perform various claims processing tasks. Key responsibilities include analyzing initial claim notifications, updating existing claims, booking transactions, and maintaining electronic claims files.Key Skills and...

ResponsibilitiesThis role involves the following key responsibilities:Monitors and checks the performance of the reimbursements for accurate and efficient processing of check payments to members/claimants and express payment bills.Evaluates medical cases properly and ensures that claims are accurate and complete.Coordinates with doctors' offices and...

About the PositionWe are looking for a skilled and experienced Claims Specialist to join our team in Makati.The successful candidate will be responsible for handling claims from receipt to settlement, ensuring all necessary information is gathered and processed in accordance with company policies and procedures.This includes coordinating with external...

YOUR ROLEReports generation.Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved.A BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...