Claims Analyst

About the JobWe are seeking an experienced Insurance Claim Analyst to join our team at Shopee. In this role, you will investigate and process claims related to lost, damaged, or delayed goods in transit.Analyze data to identify trends in claims and provide recommendations for improvement.Develop and implement processes to streamline claim resolution and...

Job Title:We are seeking a detail-oriented and analytical Medical Claims Analyst to join our team at Med-Metrix International Ph-I, Inc.This individual will be responsible for reviewing medical claims for accuracy and completeness, identifying areas for improvement, and implementing corrective actions to enhance the overall quality of our services.Key...

On-site - Manila 1-3 Yrs Exp Diploma Full-timeJob DescriptionMed-Metrix is on URGENT HIRING I'm looking for interested applicants for the Medical Claims Analyst role who can join today's interview session.Qualifications:With at least 1 year of healthcare background (AR Background is a plus)Strong foundation with healthcare terminologiesStrong understanding...

Duties and Responsibilities:Claims ProductionReviews claims daily based on medical necessity, coverage guidelines, coding & payment standard and applicable regulatory and compliance requirements.Reviews claims above $25,000 in estimated payments.Reviews services for appropriateness of charges and ensures payments are consistent with authorization information...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

**Overview:**As a Data Analyst for Insurance Claims, you will play a vital role in analyzing and interpreting data related to insurance claims. You will use your analytical skills to identify trends, patterns, and areas for improvement.Responsibilities Include:Analyzing and interpreting data related to insurance claims.Identifying trends, patterns, and areas...

We are searching for a talented Medical Claims Analyst to support our business objectives. The ideal candidate will possess excellent analytical skills, attention to detail, and a thorough understanding of medical claims regulations.Key ResponsibilitiesThis role involves reviewing and evaluating medical claims data, identifying areas for improvement, and...

About the RolePioneer Your Insurance is seeking a Claims Analyst to join our team. As a Claims Analyst, you will play a key role in verifying coverage and making recommendations on claims.Key ResponsibilitiesCoverage Verification: Verify coverage in-force at the time of loss.Claim Recommendations: Make recommendations on claim action or require further...

Job OverviewPioneer Your Insurance seeks a skilled Claims Analyst to join our team. As a Claims Analyst, you will play a crucial role in verifying coverage and making recommendations on claims.Key ResponsibilitiesCoverage Verification: Determine if coverage is in-force at the time of loss.Claim Recommendations: Make recommendations on claim action or require...

Responsibilities:Payment and ProcessingAs a Processor, ensure timely assessment/validation of individual and group medical insurance claims. Review client benefits, statement of work, guidelines, and limitations based on the policy, forms/documents, and assess their availments while securing that the billings are accurate (e.g., detect potential double...

At Med-Metrix, we are looking for a skilled Medical Claims Analyst to join our team. The ideal candidate will have at least 1 year of experience in the healthcare industry and a strong foundation in healthcare terminologies.Job DescriptionWe require a detail-oriented professional with expertise in claims and denial management. Experience with EPIC tools is...

Discover your 100% YOU with MicroSourcingPosition: Claims Processor AnalystLocation: Ortigas, PasigWork setup & shift: Onsite | Day ShiftWhy join MicroSourcing?You'll have:Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance...

Job DescriptionThis position is responsible for identifying, capturing, tracking, reviewing, and resolving held claim edits, claim rejections, and/or denials that result from the claims/billing cycle.Main Responsibilities:Identify and track revenue cycle held claim edits, rejections, and/or denials including verifying legal health record documentation to...

About the JobAS White Global is seeking a highly skilled Senior Claim Compiler to join their team in Australia. The successful candidate will lead a team of 5 Claim Officers and ensure efficient and accurate claims processing.ResponsibilitiesLead, coach, and develop Claims Handlers to deliver exceptional service and meet performance standards.Monitor team...

Med-Metrix is seeking a seasoned Medical Claims Analyst to contribute to our team's success. This role requires a solid understanding of medical claims processes and procedures, as well as exceptional communication skills.ResponsibilitiesThe successful candidate will be responsible for reviewing and processing medical claims, identifying errors and...

We are seeking a skilled Clinical Coding Analyst to join our team in Ortigas CBD, Pasig. As an onsite independent contractor, you will be responsible for analyzing and assigning codes to clinical data to ensure accurate reimbursement.Key Responsibilities:Analyze and assign CPT, ICD-10, and HCPCS codes to clinical data.Verify patient insurance eligibility and...

Key ResponsibilitiesThe successful candidate will be responsible for addressing front-line claims issues, gathering and verifying information, implementing preventive measures, communicating with stakeholders, providing reporting and feedback, maintaining financial data, adhering to risk management policies, building relationships, contributing to process...

Pioneer Your Insurance is seeking a highly skilled Financial Analyst Support Specialist to join our General Accounting Team. The successful candidate will provide support in the day-to-day operations of the team, ensuring accurate payment of claims and maintaining the highest level of integrity.Key Responsibilities:Claim Payment Facilitation: Facilitates the...

Discover your 100% YOU with MicroSourcingPosition: Medical Content AnalystLocation: GSC Tower, BGC, Taguig CityWork Set-up & Shift: Work From HomeWhy join MicroSourcing?You'll have:Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and...

Job DescriptionThe Medical Content Analyst will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution.This solution is utilized by medical insurance payers across the United States. The...