Insurance Claims Specialist

6 days ago

Iloilo City, Western Visayas, Philippines beBeeCustomerService Full time ₱150,000 - ₱250,000

Are you looking for a challenging and rewarding career in customer service?

We are seeking a Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for managing various customer issues depending on account assignment; transactions can be related to billing and collections support, client inquiries, product support, or inbound interactions.

The ideal candidate will have excellent communication skills, both oral and written, and be able to multitask efficiently under time pressure. They will also have strong problem-solving and analytical skills to investigate and resolve customer issues.

Responsibilities:

  • Inbound and outbound customer engagement during peak volume period of 6-month policy renewal season approaching.
  • Non-licensed service requests handled with Customer Experience Coordinators; requests requiring licensed representatives to be transferred or given a call-back option.
  • Facilitate resolution of the highest level of escalated or sensitive customer complaints through verbal or written contact with the internal team.
  • Adhere to provided scripts and FAQ responses.
  • Learning and understanding company insurance products.
  • Answering calls and responding to customer complaints.
  • Accessing customer accounts and policy schedules.
  • Providing customers with detailed information about policies and products.
  • Recommending available products.
  • Forwarding customers to sales agents when a policy needs to be initiated or upgraded.

Requirements:

  • Proven people management and leadership skills.
  • Excellent communicator, both oral and written.
  • Strong problem-solving and communication skills.
  • Strong analytical skills to investigate and resolve customer issues.
  • Able to multitask efficiently under time pressure.
  • Previous experience in managing customer-focused teams.
  • Proven experience in managing a service and support-focused team culture.

  • Claims Processor

    2 days ago

    Iloilo City, Western Visayas, Philippines Cocogen Insurance, Inc. Full time ₱144,000 - ₱168,000 per year

    Join our roster of exceptional peoplePerks & Benefits:Guaranteed 15 months' payHMOMedical reimbursementsInternal & external trainingsYear-round fun & exciting Company EventsEmployee appreciationWork-life balanceJob Description:1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance...

  • Claims Assistant

    2 days ago

    Bacolod City, Western Visayas, Philippines Prudential Guarantee and Assurance, Inc. Full time ₱500,000 - ₱1,000,000 per year

    MAJOR RESPONSIBILITIESAssigned special accounts to handle.Receives Claims Documents from Receiving and Encoding Sections for review.Prepares reports and statistics for management's information.Assists in updating status of assigned claims to broker(s), agent(s) and / or Insured.Reports to department officers progress of assigned claims for...

  • Medical Billing Specialist

    1 day ago

    Iloilo City, Western Visayas, Philippines beBeeAnalyzer Full time ₱300,000 - ₱380,000

    ClinicMind, the nation's leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a Medical Biller AR Followup Analyst. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead.RESPONSIBILITIESMaximize insurance reimbursement for healthcare practice...

  • Medical Claim Specialist

    6 days ago

    Cebu City, Central Visayas, Philippines beBeeClaim Full time ₱250,000 - ₱450,000

    We are seeking a skilled medical claims professional to join our team as a Medical Claims Specialist.This role involves processing medical claims from start to finish, ensuring timely and accurate submission to insurance providers.Familiarity with medical billing software and electronic claim submission systems is required.The ideal candidate will have...

  • Insurance / Claims Analysts - (Onsite)

    2 weeks ago

    Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full time

    REQUIREMENTS:Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services.Must know the basic insurance terms.Knowledge in Medical Billing/Claims.Experience in Revenue Cycle Management (or a part of) required.The job...

  • Insurance Claims Officer

    2 days ago

    Cebu City, Central Visayas, Philippines Smartsourcing Full time ₱500,000 - ₱1,000,000 per year

    Accuracy meets efficiency—be the difference in every claim's journeyat Smartsourcing, a 4-Time Best Company to Work ForHi We'reSmartsourcing, and we're looking for afull-time,onsite Vehicle Claims Adjusterto keep cases moving, documents in order, and deadlines on point. You'll handle claims, recoveries, and logistics tasks with precision—ensuring...

  • Claims Specialist

    3 days ago

    Cebu City, Central Visayas, Philippines beBeeCustomerService Full time ₱800,000 - ₱1,200,000

    Job Title">We are seeking a dedicated Claims Specialist to join our team. As a Claims Specialist, you will play a vital role in managing customer contacts and resolving concerns in a timely and efficient manner.">About the Role">This is an exciting opportunity for someone who is passionate about delivering exceptional customer service and has strong...

  • Medical Biller AR Followup Analyst

    2 days ago

    Iloilo City, Western Visayas, Philippines Indicle Full time

    ClinicMind, the nation's leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a Medical Biller AR Followup Analyst. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead.ResponsibilitiesMaximize insurance reimbursement for healthcare practice...

  • Pharmacy Claims Specialist

    5 days ago

    Cebu City, Central Visayas, Philippines beBeePharmacy Full time ₱250,000 - ₱450,000

    Pharmacy Claims SpecialistWe are seeking a detail-oriented professional to join our team as a Pharmacy Claims Specialist. This role involves reviewing and analyzing pharmacy claims to ensure compliance with regulations and company standards.About the RoleThis position is responsible for verifying claims data, identifying discrepancies, and supporting audit...

  • Life Insurance Specialist

    2 days ago

    Cebu City, Central Visayas, Philippines Fortune Life Insurance Co., Inc. Full time $40,000 - $60,000 per year

    Company DescriptionFortune Life Insurance Co., Inc. believes in addressing individuals' unique financial risk-sharing needs. Our ultimate responsibility is to our policyholders, maintained through financial protection for the family and efficient operations. We aim to exceed customer satisfaction, provide professional agents with innovative products, and...