HMO Claims Specialist: Fraud
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Pioneer Your Insurance in Cebu City is seeking a Claims Associate to support management of the department's loss ratio by evaluating simple claims and flagging suspicious cases, ensuring fair settlements for customers and the company. You will deliver services by meeting SLAs, following established procedures, and contributing to efficient claims management and provider billing settlements.
Ideal candidates have a Bachelor's degree in related field, 1–2 years claims experience, and proficiency