Claims Compliance Specialist

The Claim Resolution Specialist plays a versatile role in the claims workflow, tasked with submitting appeals to overturn denials and trigger payments or determining whether further action, such as additional appeals or account closure, is required. Specialists in this role may prioritize tasks based on claim complexity and workload, ensuring optimal...

Job DescriptionWe are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure...

Job Description:The primary role of this position is to provide support to Claims Adjusters located in North America. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance policies, documenting claims, and coordinating with adjusters. This role involves maintaining detailed...

Eggs Unlimited is one of the world's largest suppliers of eggs, servicing the biggest retail and food manufacturing companies around the globe. Every day, we find homes for millions of eggs by tapping into our vast supply chain and customer networks. Bringing sellers and buyers together in fair market negotiations, we open a world of possibilities for...

Role Purpose:The primary role of this position is to support Claims Adjusters located in North America by completing various complex tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering sensitive, high valued and important claims, reviewing insurance policies, documenting claims, and...

The primary role of this position is to support Claims Adjusters located in North America by completing various tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance policies, documenting claims, and coordinating with adjusters, keeping detailed record of...

Qualifications:At least 5 years of experience in non-life insurance, specifically in claims processing for Motor, Marine & Aviation, Surety & Casualty, or Property & Engineering linesPreferably with Basic Non-Life Insurance certificationStrong analytical and problem-solving skillsProficient in Microsoft Office applicationsWilling to work on-site in Ortigas...

Claims Processing Specialist RoleWe are seeking an experienced Claims Processing Specialist to join our Insurance Operations team. This key position involves managing the financial processing of claims, prioritizing settlement requests and ensuring all necessary documentation is in compliance with regulations.This role requires a strong understanding of...

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...