Claims Specialist
1 week ago
The Claims Specialist's major role in the company is to ensure that all the marketing activities and promotions with the approved budget will be claimed 100% from the principal and that all proper documentation will be reflected in the ERP system. He/she is also responsible for keeping track that the submitted claims will be settled within an acceptable time frame.
Key Responsibilities:
- Initiate processing of all claims with approved budget and executions done for all brands
- Perform debit notes and accruals creation in ERP system
- Consolidate approved debit notes for claims submission to principal to ensure quick and accurate processing
- Track claim progress, monitor status of disapproved claims and appeal for approval by submitting additional supporting documents
- Maintain accurate data monitor for claims submissions and tracking, providing timely reports to management
- Maintain claims records, including claim history, related correspondence, and claim documents
- Coordinate with marketing and sales on a weekly basis to ensure no claims pending over 60 days
- Perform other related tasks that may be assigned to him by management
-
Claims Specialist
6 days ago
Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full timeAbout the Role:We are seeking a skilled Claims Specialist to join our team at TakeCare Asia Philippines, Inc. As a key member of our Claims Team, you will be responsible for ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Review medical claims daily to determine coverage, coding, and payment standards in...
-
Insurance Claims Specialist
2 weeks ago
Manila, National Capital Region, Philippines TrabaGo PH, Incorporated Full time**Job Purpose:**The role of the Insurance Claims Specialist at TrabaGo PH, Incorporated involves receiving and reviewing insurance claim submissions, verifying the accuracy of submitted claims, processing insurance claim payouts, creating claim documentation, and communicating with business representatives, insurance agents, and clients. The specialist will...
-
Medical Claims Specialist
6 days ago
Manila, National Capital Region, Philippines InLife Health Care Full timeJob OverviewInLife Health Care is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a vital role in ensuring that all claims are processed accurately and efficiently.Responsibilities:• Analyze and adjudicate claims according to set medical guidelines and policies• Audit and process claims...
-
Claims Specialist
1 week ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeCOMPANY 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,...
-
Medical Claims Specialist
20 hours ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJob Title: Medical Claims SpecialistDescription:We are seeking a highly skilled Medical Claims Specialist to join our team at MED-METRIX INTERNATIONAL PH-I, INC.Key Responsibilities:Analyze and process medical claims, identifying and resolving any discrepancies or errors.Communicate effectively with patients, providers, and payers to ensure accurate and...
-
Claims Specialist
1 week ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time**About the Role:**We are seeking a highly skilled Claims Specialist to join our team. As a key member of our collection department, you will be responsible for collecting unpaid healthcare claims and ensuring that our clients receive accurate and timely payments.Key Responsibilities:Review and verify claim information to ensure accuracy and...
-
Insurance Claims Specialist
1 day ago
Manila, National Capital Region, Philippines ORIX RENTAL CORPORATION Full timeAbout ORIX RENTAL CORPORATION:We are a leading company in the rental industry, committed to providing exceptional service and support to our customers. Our team is dedicated to excellence and continuous improvement.Job Description:We are seeking an experienced Insurance Claims Specialist to join our team. As a Claims Specialist, you will play a key role in...
-
Medical Claims Specialist
2 days ago
Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full timeAbout the RoleWe are seeking a highly skilled Medical Claims Specialist to join our team at TakeCare Asia Philippines, Inc.The successful candidate will be responsible for managing the entire claims process, from initial investigation to final resolution. They will work closely with healthcare providers, insurance carriers, and internal stakeholders to...
-
Claims Resolution Specialist
1 week ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeAbout UsTrinity Insurance and Reinsurance Brokers, Inc. has been serving its clients for over three decades, redefining what it means to be in the business of insurance. We offer customized products and services that cater to the needs of our clients and customers.The PositionWe are looking for a skilled Claims Specialist who will be responsible for handling...
-
Medical Claims Specialist
2 weeks ago
Manila, National Capital Region, Philippines RA ROCO INSURANCE BROKERS INC. Full timeJob DescriptionWe are seeking a skilled Medical Claims Specialist to join our team at RA ROCO INSURANCE BROKERS INC. This role involves reviewing claim documents and reimbursement received from clients, ensuring timely submission to principals and following up on the status of claims.Key Responsibilities:Claim Review and Submission: Review claim documents...
-
Healthcare Claims Specialist
1 week ago
Manila, National Capital Region, Philippines Care Solutions and Outsourcing Corp. Full timeCare Solutions and Outsourcing Corp. is seeking a Healthcare Claims Specialist to join our team. As a Medical Biller, you will be responsible for processing claims for a chain of pediatrics clinics in the USA. This role requires ensuring timely payments from insurance companies, investigating denied claims, and resubmitting corrected claims.Duties:Posting...
-
Claims Resolution Specialist
7 days ago
Manila, National Capital Region, Philippines Linkage Foods Ventures Corporation Full timeAbout the RoleThe Claims Specialist position is a critical function in our organization, requiring attention to detail and strong organizational skills. Key responsibilities include initiating claim processing, creating debit notes and accruals in our ERP system, and consolidating approved debit notes for submission to principals.
-
Claims Management Specialist
6 days ago
Manila, National Capital Region, Philippines JobsAvenuePH Full timeAbout the Role: We are seeking a dedicated and detail-oriented IDR Claims Support Specialist to join our team at Remote Staff, in partnership with JobsAvenuePH. This is a full-time, work-from-home position that offers the opportunity to work with an Australian Claims Management Services company.
-
Disability Claims Specialist
2 weeks ago
Manila, National Capital Region, Philippines Design Staff Australia Full timeOur Mission:At Design Staff Australia, we strive to deliver exceptional services to the insurance industry by employing talented individuals who share our vision.We are currently seeking a skilled Disability Claims Specialist to join our team. As a Disability Claims Specialist, you will be responsible for investigating and processing disability insurance...
-
Construction Claims Specialist
2 weeks ago
Manila, National Capital Region, Philippines Crimson Group Inc. Full time**Job Description:**Crimson Group Inc. is looking for a highly motivated and detail-oriented Construction Claims Specialist to join our team.The successful candidate will have a strong understanding of construction contracts, laws, and regulations, as well as experience in claims preparation, negotiation, and resolution.Key Responsibilities:Review and...
-
Claims and Returns Specialist
6 days ago
Manila, National Capital Region, Philippines API Delevan, Inc. Full timeJob DescriptionThis is an exciting opportunity to join our team as a Claims and Returns Specialist. As a key member of our customer care department, you will be responsible for performing complex transactions regarding claims and returns requests. Your strong analytical skills and ability to work independently will be essential in resolving issues...
-
Manila, National Capital Region, Philippines JobsAvenuePH Full timeJob OverviewAustralian Claims Management Services company is seeking a skilled and detail-oriented Claims Specialist to join their team. This is a full-time, work-from-home position offering the opportunity to work with an international client.Key Responsibilities: Review, process, and settle claims in accordance with company guidelines and...
-
Medical Claims Specialist
1 day ago
Manila, National Capital Region, Philippines Private Advertiser Full timeJob SummaryWe are seeking an experienced Medical Claims Specialist to join our team. As a key member of our operations department, you will be responsible for processing medical claims and ensuring that they are accurately documented and paid.Key Responsibilities:Process medical claims and verify patient information.Communicate with healthcare providers and...
-
Healthcare Claims Specialist
1 day ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full timeJob OverviewAs a skilled Healthcare Claims Specialist, you will play a vital role in the healthcare industry by collecting unpaid claims and providing exceptional customer service. Your primary responsibility will be to interact with customers, gather support data to ensure invoice accuracy, and work through specific claims discrepancies.Key...
-
Medical Claims Specialist
5 days ago
Manila, National Capital Region, Philippines Harris Computer Full timeJob Description:As a key member of the Harris Computer team, the Medical Claims Specialist will play a vital role in ensuring accurate and timely billing for Workers' Compensation and Personal Injury claims. The ideal candidate will possess strong attention to detail, excellent data entry skills, and proficiency in medical coding and claims management...