Claims Specialist

4 weeks ago

Makati City, National Capital Region, Philippines AXA Full time
Job Responsibilities
  1. Acknowledge receipt of claim requests.
  2. Upload claim documents to the case in the health claims system.
  3. Validate claim details in the health claims system.
  4. Update claim status and notes in the health claims system.
  5. Update TPA file for endorsement to Claims Control Team.
  6. Adhere to service standards of processing administrative requests.
  7. Ensure complete claim file documentation and submission.
  8. Send out letters requesting information for claim files.
  9. Make follow-up telephone calls, such as requesting medical information from physicians, scheduling health screenings with providers, and following up on provider payments and outstanding bills.
  10. Ensure complete and accurate claim file documentation.
  11. Maintain an understanding of different client relationships and products.
  12. Assist with mail sorting and distribution.
  13. Attend to other duties and responsibilities as needed.
Minimum Requirements
  • College graduate of any 4-year medical course.
  • Preferably with a health claims processing background.
  • Ability to initiate and prioritize work duties and small projects, multitask, be detail-oriented, organized, and possess good time management skills.
  • Ability to work independently and as part of a team.
  • Good computer skills, including basic proficiency in Excel, Word, and Outlook.
  • Ability to use office equipment such as photocopiers and printers.
  • Good knowledge of medical claims processing.
  • Accurate data entry skills with a keyboarding speed of 40-45 WPM.
About the company

AXA SA is a French multinational insurance firm.

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