Insurance Claim Resolution Specialist

23 hours ago


Taguig, National Capital Region, Philippines beBeeInsurance Full time ₱2,700,000 - ₱3,900,000

The role of a Collections Specialist involves handling and resolving insurance follow-up and denial issues to ensure accurate reimbursements from insurance companies.

Key Responsibilities:
  • Research and resolve payment discrepancies, collaborating with relevant parties to achieve efficient resolution.
  • Analyze and manage the AR aging report, providing clear explanations of past due balances to management for strategic decision-making.
  • Prioritize and work aged accounts on assigned payers, focusing on those approaching timely filing denial to minimize losses.
  • Identify key issues or trends with accounts and develop targeted suggestions for resolutions to improve operational efficiency.
  • Escalate exhausted appeals efforts for comprehensive resolution with payers.
Required Competencies:

Behavioral Standards:

  • Exhibit exceptional customer service skills in everyday interactions, demonstrating empathy and understanding towards internal workforce and external customers.
  • Maintain a courteous and respectful attitude in all work-related communications.

Communication/Knowledge:

  • Deliver accurate and timely written and verbal communication of information, utilizing effective tone and language to ensure comprehension by all stakeholders.
  • Demonstrate proficiency in using IT systems accurately and efficiently.

Collaboration/Teamwork:

  • Contribute positively to effective working relationships with internal and external colleagues, fostering a collaborative environment that promotes mutual success.


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