Insurance Claim Examiner

2 weeks ago


Manila, National Capital Region, Philippines InLife Health Care Full time
Job Description
InLife Health Care is seeking a qualified Insurance Claim Examiner to examine and evaluate insurance claims for accuracy and compliance. As an Insurance Claim Examiner, you will play a critical role in ensuring that all claims are processed fairly and efficiently.

Main Responsibilities:
• Examine and evaluate insurance claims to determine coverage and benefits
• Investigate and resolve claim discrepancies through collaboration with cross-functional teams
• Develop and maintain expertise in insurance policies and procedures
• Provide excellent customer service to policyholders and agents

Requirements:
• Bachelor of Science in Nursing or related medical course
• Above average communication and interpersonal skills
• Customer-service oriented
• Expertise/familiarity with Medical Terminologies
• Computer literate
• Experience in claims processing and reconciliation


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