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...

Job DescriptionInvestigate and process claims related to lost, damaged, or delayed goods in transit.Gather evidence, such as pre-shipment videos and photos, to support claims.Work closely with WHOps and CCTV team to ensure that the set guidelines are being followed.Collaborate with the Logistics, Payments and Finance team to ensure all RTS Parcels for claims...

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...

**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...

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...

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...

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...

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...

Megaworld Corporation is committed to delivering exceptional service to our clients. As a Claims and Insurance Officer, you will play a critical role in ensuring that our customers receive prompt and accurate responses to their claims inquiries.Responsibilities:Review and analyze claims submissions to ensure accuracy and completenessCommunicate with...

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...

Emapta Global seeks an experienced Data Scientist to join their team. The successful candidate will have a strong background in data science, with expertise in SQL and quantitative analysis. They will be responsible for developing scripts, computing metrics, and optimizing data sets within SaaS solutions.The ideal candidate will have experience working with...

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...

Job Description:We are looking for a Financial Reconciliation Analyst to work with us at InLife Health Care.About the Job:This role involves reconciling claims from accredited providers, coordinating with them to resolve discrepancies, and updating the status of claims in a timely manner.Key Accountabilities:Claims Reconciliation and CoordinationVerify the...

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...

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...

About the RoleWe are seeking a skilled Financial Analyst to join our team in Manila. As a key member of our Corporate Operations Group, you will be responsible for end-to-end corporate actions event life cycle management across various asset classes.Key ResponsibilitiesInvestigate and resolve complex issues related to cash, non-cash, and elective events for...

We are currently seeking a Clinical Analyst to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Clinical Analyst is responsible for analyzing, interpreting, and assigning the correct codes for the descriptions available on various medical procedures and diagnoses, as well as other related medical...