Claims Examiner

Job DescriptionExpand contracts to doctors to be medical providers.Guide and assist patients in dealing with different departments of the hospital.Arrangement of Patient-Doctor consultation, procedures, examination, and treatment schedules.Prepares documents needed for the consultation and CMS (Laboratory results, X-Ray, CT-Scan, MRI, etc., claim forms,...

Maintains and records inventory of medical supplies in the clinic and at project sites.Heads the Accident Response Team and conducts regular safety trainings.Provides first aid treatment and proper medication to employees, or accompanies them to the nearest hospital. Monitors and attends to reported accidents.Assists the Company Physician and implements...

Unleash your energy within Be a part of the EDC Team Overall Construction & Site Management (Temporary Works and Permanent Works) responsibility and accountability. Manages the company's site team organization. Act as the company representative at site to manage and handle any concern, coordination, site visit and or inspection by external stakeholder and...

Job Opportunity:We are seeking a highly skilled professional to fill the position of Insurance Claims Examiner. This role is ideal for individuals with strong analytical and problem-solving skills, as well as excellent communication abilities.The successful candidate will be responsible for investigating and resolving insurance claims in a fair and timely...

Role Purpose:The primary purpose of this role is to produce a high quality Claims work through prompt and professional contact with customers and brokers.  Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported.Key...

Key Responsibilities:1. Process claims document and index to appropriate claims files in the system.2. Responsible for FNOL (First Notice of Loss)/ new claim files creation and registration in the system including policy verification/ upload of policy documents and determination of appropriate coverage.3. Ensures loss reserves are set and maintained with...

Job Title: Health Claims Adjudicator **Role Overview:**We are seeking an experienced Health Claims Adjudicator to join our team. The ideal candidate will have a strong background in health claims adjudication, with excellent analytical and problem-solving skills.**Key Responsibilities:*** Adjudicate reimbursement claims on outpatient and inpatient benefits...

Job Title: Clinical Claims Training ExpertWe are seeking a highly skilled Clinical Claims Training Expert to join our team. As a key member of our organization, you will be responsible for delivering comprehensive end-to-end claims process training to new hires and existing claims examiners.The primary goal of this role is to ensure that all staff members...

Job Summary:The Operations Claims Administrative Support role provides essential administrative and operational assistance within the claims department. This position ensures the accurate processing of claims, supports workflow management, and facilitates communication between internal teams and external stakeholders.Key Responsibilities:Review insurance...

Job Title: Claims ExaminerKey Responsibilities:Process claims documents and index them to appropriate claims files in the system.Responsible for FNOL (First Notice of Loss) / new claim files creation and registration in the system, including policy verification and determination of appropriate coverage.Ensure loss reserves are set and maintained with timely...

Job Objective:Administrative analyst is responsible for providing secretarial and administrative support for GRRI Silang and Dasmarinas Hemodialysis Center. Point of care for PhilHealth claims, cashiering, and invoicing.Why You'll Love Working Here:Be part of a caring and collaborative healthcare team.Gain hands-on experience in patient care coordination and...

Responsibilities:Examining and diagnosing automotive vehicles specifically (TVS Motorcycles)Inspecting and testing vehiclesRestoring and maintaining vehiclesUpdating maintenance and repair records (warranty claim)JOB QUALIFICATIONS:At least High School graduateWith specialized training through vocational programs or associate degrees in automotive...

HIGHLIGHTSCompetitive compensation and benefits packagesContinuous professional development and learning opportunitiesRegular engagement activities and events______________________________________________________________________________CASE MANAGERWork for our global clients and immerse in our rich and diverse company culture where you can thrive, grow and...