Financial Claims Resolution Specialist

Job SummaryTenet Global Business Center, Inc. is seeking a skilled Claims Resolution Specialist to join our team. The ideal candidate will have a strong understanding of medical claims processing and a proven track record in resolving disputes and appeals.Main Responsibilities:- Validate denial reasons and ensure accurate coding in DCM- Generate appeals...

**Job Overview**Shopee is seeking a skilled Claims Analyst to join our team. As a Claims Analyst, you will be responsible for investigating and processing claims related to lost, damaged, or delayed goods in transit.Main ResponsibilitiesGather evidence, such as pre-shipment videos and photos, to support claims and ensure compliance with set...

Role OverviewThe Claims Resolution Expert is a critical member of our team, responsible for handling complex claims and providing expert guidance to policyholders, beneficiaries, agents, and internal customers.Responsibilities:Analyze and resolve complex claims, often requiring collaboration with external vendors and stakeholders.Communicate clearly and...

Job SummaryThis is an exciting opportunity to work in a fast-paced environment as a Customer Care Advocate I. You will be responsible for performing complex research of debits for customer claims and returns.Main Responsibilities:Process complex research of debits for customer claims and returns.Approve/deny all returns based on policy.Assist with dispute...

About UsTrinity Insurance and Reinsurance Brokers, Inc. has been serving its clients for over three decades, redefining what it means to be in the business of insurance. We offer customized products and services that cater to the needs of our clients and customers.The PositionWe are looking for a skilled Claims Specialist who will be responsible for handling...

About UsWe are TakeCare Asia Philippines, Inc., a leading healthcare company dedicated to providing innovative solutions to our customers. As a Claims Resolution Expert, you will play a critical role in ensuring that our members receive timely and accurate claims resolutions.Key Responsibilities:Subrogation and Coordination of BenefitsAnalyze Medicare and...

About the RoleThe Claims Specialist position is a critical function in our organization, requiring attention to detail and strong organizational skills. Key responsibilities include initiating claim processing, creating debit notes and accruals in our ERP system, and consolidating approved debit notes for submission to principals.

At Networx Auto Detailing Corp., we are seeking a skilled Claims Resolution Specialist to join our team.About the JobThe successful candidate will be responsible for assisting in the processing of insurance claims, ensuring timely resolution and maintaining accurate records.Key Responsibilities:Process insurance claims efficiently and accuratelyCommunicate...

Key ResponsibilitiesOur ideal candidate will have experience in claims resolution and possess excellent communication skills. As a Claims Specialist, you will be responsible for:Initiating claim processing and ensuring timely completionMaintaining accurate records and tracking claim progressCoordinating with marketing and sales teams to resolve claims...

Regal Rexnord Job Overview:The Customer Care Advocate I is a critical role within our organization, requiring strong analytical and communication skills to effectively manage customer claims and returns. As a key member of our team, you will be responsible for resolving complex issues, working closely with other departments to ensure timely and accurate...

Medical Claim Resolution ExpertViventis Search Asia is seeking a Medical Claim Resolution Expert to help our partner in the BPO industry navigate the complexities of medical claim denials.About the Role:Claim Denial Resolution: Resolve denied medical claims by preparing and submitting appeals that address specific issues and regulations.Collaboration with...

Job DescriptionIn this role, you will be responsible for communicating with customers regarding their benefits, eligibility, and claims. You will also provide guidance on selecting the best benefit plan options and choosing quality care providers.You will work closely with care providers to assist with appointment scheduling or connections with internal...

About the TeamWe are a dynamic team at Emapta Philippines, recognized as one of the Top 20 Dream Companies of Filipinos in 2024. We value camaraderie, excellence, and growth, and we are committed to empowering our employees' success.In this role as an Accurate Claims Resolution Expert, you will be responsible for evaluating and processing insurance claims,...

About the RoleWe are seeking a skilled professional to join our team as a Medical Billing Specialist. In this role, you will be responsible for collections of unpaid healthcare claims.You will interact with customers to gather support data, ensuring invoice accuracy and resolving claims discrepancies. Providing input to policies, systems, methods, and...

**Job Description:**Crimson Group Inc. is looking for a highly motivated and detail-oriented Construction Claims Specialist to join our team.The successful candidate will have a strong understanding of construction contracts, laws, and regulations, as well as experience in claims preparation, negotiation, and resolution.Key Responsibilities:Review and...

COMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...

Job OverviewPioneer Your Insurance is seeking a skilled Claims Analyst to join our team. As a Claims Analyst, you will play a crucial role in verifying coverage and making recommendations on claims.About the RoleYou will be responsible for reviewing coverages to determine if there is policy in-force when a loss occurs.Makes necessary recommendations on...

Job DescriptionWe are seeking an experienced Claims Specialist to join our team in the Employee Benefits division. As a Claims Specialist, you will be responsible for handling end-to-end claim processing, providing guidance to team members, and achieving team objectives.Key Responsibilities:Develop and implement effective claim resolution...

About the RoleThis Transaction Coordinator position requires a strong attention to detail and excellent communication skills to effectively handle customer inquiries and resolve issues in a professional manner.Main ResponsibilitiesProcess complex transactions regarding claims and returns requests and corresponding credits and/or denialsWork closely with...

Role OverviewThe Billing Specialist will be responsible for managing the entire billing process, from initial claim submission to final payment receipt. This includes verifying patient insurance coverage, obtaining necessary authorizations, and resolving any billing discrepancies that may arise.Key ResponsibilitiesBilling Process ManagementPrepare and submit...