Health Claims Officer

Please be advised that this is a contractual job for 5 monthsAbout the roleAs the Health Claims LO, you will be assigned to different hospitals across the county and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for...

Job OverviewWe are seeking a skilled Health Claims Officer to join our team at Trinity Workforce Solutions Inc. As a key member of our organization, you will be responsible for managing and processing health insurance claims in a timely and efficient manner.About the RoleThe successful candidate will work closely with our clients and stakeholders to ensure...

Job DescriptionThe Health Claims Officer is a critical role within our organization, responsible for ensuring that all health insurance claims are accurately assessed and processed in a timely manner.About the JobThe successful candidate will have excellent analytical and problem-solving skills, with the ability to interpret complex medical data and...

Company OverviewInLife Health Care is a dynamic organization dedicated to providing exceptional healthcare services. Our team is committed to delivering high-quality medical claims processing, ensuring timely and accurate payments to our customers.

Key ResponsibilitiesAnalyze and process In-Patient, Out-Patient Hospital Bills, and Professional Fees claims in accordance with agreed SLAs (Service Level of Agreements)Ensure accuracy and completeness of claims data, adhering to regulatory requirements and company standardsCommunicate effectively with customers, stakeholders, and internal teams to resolve...

About the RoleWe are seeking a skilled Medical Claims Processor to join our team in Makati City. As a key member of our operations, you will be responsible for analyzing, adjudicating, auditing, and processing medical claims according to set medical guidelines and policies.

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines and policies within the agreed SLAs (Service Level of Agreements).Minimum Requirements:Graduate of Bachelor of Science in Nursing or any related medical course.Above average...

Job SummaryWe are seeking a highly motivated and experienced Health Claims Officer to join our team at Trinity Workforce Solutions Inc.About the PositionThe successful candidate will be responsible for providing exceptional customer service to our clients and stakeholders, while ensuring that all health insurance claims are accurately assessed and...

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...

This function is responsible for Collections for Healthcare unpaid claims. The position in this function interacts with customers gathering support data to ensure invoice accuracy and also works through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection...

About the Role:The Insurance Claims Coordinator plays a vital part in our team, responsible for overseeing and managing insurance claims from initiation to resolution. This role demands attention to detail, effective communication skills, and a deep understanding of insurance claims processes.We are seeking a Claims Processor with a Bachelor's degree in a...

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...

Primary Responsibilities:Contract reading of payment dispute.Working on the Provider side.Checking with the insurance to verify claim status and collect unpaid claims.Process claims payment, Denial Management, Claim statusing.JOB QUALIFICATIONSCompleted at least 2 years in college.With minimum 12 months experience of Healthcare Account Receivable/Collections...

This function is responsible for Collections for Healthcare unpaid claims. This position interacts with customers gathering support data to ensure invoice accuracy and also works through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function....

RESPONSIBILITIES:- Evaluates claims receive by checking the completeness of documents, necessity and reasonableness of expenses. - Encoding and simplification of diagnosis-data entry. - Conducts routine reconciliation of Outstanding Accounts with Providers to be reported to Provider Relation Department. - Ensures that all medical claims documents are...

About the JobZIA is looking for a highly skilled Dental Claims Specialist to join our team. The successful candidate will have extensive experience in oral surgery billing and coding.ResponsibilitiesBilling and Coding: Accurately code dental oral surgery procedures using ICD-10, CPT, and CDT codes.Claims Submission: Submit clean, accurate, and timely claims...

In this role, you will have the opportunity to work with a talented team of professionals who share your passion for animal health and welfare. As a Veterinary Claims Advisor, you will play a critical role in ensuring that our customers receive the best possible claims experience.You will be responsible for handling claims in an efficient, honest, and fair...

The Claims Insurance Coordinator will be responsible for overseeing and managing insurance claims from initiation through resolution. This role requires attention to detail, effective communication skills, and a deep understanding of insurance claims processes.Graduate of Bachelor's degree in a related field2+ years of experience in claims coordination,...

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 OverviewWe are seeking a highly skilled Logistics Claims Processor to join our team at Shopee. As a Logistics Claims Processor, you will be responsible for investigating and processing claims related to lost, damaged, or delayed goods in transit.Gather evidence to support claims, including pre-shipment videos and photos, and work closely with our WHOps...