Insurance Claims and Authorizations Specialist

Are you an analytical and detail-oriented individual looking for a challenging role in insurance claims? We are seeking a Claims Adjudicator to join our team at Trinity Workforce Solutions. As a Claims Adjudicator, you will play a critical role in reviewing and evaluating insurance claims to ensure accuracy and compliance with regulatory standards.About the...

Job Overview: Our company, Vector Outsourcing Solutions Philippines, is a leading provider of revenue cycle management services. We are seeking a highly skilled Medical Billing Consultant to join our team. In this role, you will be responsible for ensuring accurate and timely submission of medical insurance claims.Key Job Responsibilities:Accurate Claims...

Job SummaryWe are seeking a highly organized and detail-oriented Client Service Specialist to join our team. As a Client Service Specialist, you will be responsible for triaging insurance claims, ingesting documents received via email, and performing various administrative tasks.Key Responsibilities:Triage insurance claims, ensuring that all necessary...

Job OverviewWe are seeking a skilled Prior Authorization Consultant to join our team at Vector Outsourcing Solutions Philippines. As a key member of our healthcare team, you will play a vital role in ensuring seamless prior authorization processes for patients.About the RoleThis is a consultancy position with a minimum of 6 months contract (subject to...

Pioneer Insurance is a leading provider of insurance solutions, dedicated to delivering exceptional service and value to our customers. As a Group Insurance Pricing Specialist, you will play a key role in developing and implementing pricing strategies that meet the needs of our clients. Your expertise in insurance and pricing will enable us to stay...

BAU Responsibilities:Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turnaround time.Ensures that the life claims benefits are paid out in accordance with existing Philippine life insurance laws and...

A Claims Adjudicator is responsible for reviewing and evaluating insurance claims to determine their validity and the extent of coverage based on policy terms. This role involves analyzing medical records, verifying information, applying policy guidelines, and approving or denying claims accurately while ensuring compliance with regulatory standards.

We are seeking a skilled Insurance Claims Resolution Expert to join our team in the Philippines.The ideal candidate will have strong analytical skills and be able to communicate effectively with clients and internal departments.Responsibilities include answering inbound calls regarding verification of health insurance benefits, eligibility and claim status,...

About the JobThe Insurance Sales Specialist will work closely with our clients to understand their insurance needs and provide personalized solutions. This is an excellent opportunity for someone who enjoys working with people, has strong communication skills, and is passionate about sales.Main Responsibilities:Sales of life insurance productsClient...

**Job Overview:**We are seeking an experienced, motivated, and diligent benefit verification specialist to join our dynamic team at Sourcefit DR. The successful candidate will play a critical role in our healthcare delivery processes, ensuring compliance with Federal and State regulations and policies regarding benefit verification.The position requires...

At Trinity Workforce Solutions, we are seeking a skilled Claims Adjudicator to join our team. This is a challenging role that requires attention to detail, excellent analytical skills, and the ability to make informed decisions.About the RoleThe primary responsibility of this position is to review and evaluate insurance claims to determine their validity and...

Responsibilities:Acknowledge receipt of Claim requests.Upload claim documents to case in the health claims system.Validate claim details in the health claims system.Update Claim status and notes in the health claims system.Update TPA file for endorsement to Claims Control Team.Adhere to service standards of processing administrative requests.Ensure complete...

Company Overview: ISTA Solutions is a leading outsourcing company that offers innovative solutions to businesses. We pride ourselves on creating a culture focused on long-term success and life-long learning.As a member of our team, you will have the opportunity to work with highly skilled professionals who prioritize employee satisfaction and work-life...

About J-K Network ServicesWe are a reputable insurance company with over 60 years of experience, serving clients across the globe with our comprehensive insurance solutions.Job SummaryWe are seeking an experienced underwriting associate to join our team in Makati City. The ideal candidate will have a strong background in the insurance industry, excellent...

**The Ideal Candidate:**We are looking for a detail-oriented, self-directed individual with a strong work ethic, who can handle problems involving multiple variables in an organized manner within the position's scope.The ideal candidate will have excellent verbal and written communication skills, with the ability to build relationships, negotiate, and work...

About Lexie Staffing And Business ConsultingWe specialize in insurance business process outsourcing (BPO) to help companies manage back-office tasks efficiently. Our services include claims processing, customer service, and data management.By partnering with us, you can reduce costs, improve your services, and increase your revenues. We strive to provide a...

Are you an experienced healthcare professional looking for a challenging role? The Eteam Workforce Private Corporation is seeking a Medical Claims Management Specialist to join our team. As a Health Claims Liason Officer, you will play a critical role in ensuring that hospitalized clients receive the care they need.Key Responsibilities:Engage with...

Pioneer Insurance is seeking a talented Business Intelligence Analyst to join our team!We're looking for someone who can develop and maintain reports, analytics, and dashboards for business heads using data visualization tools. If you have a passion for data analysis and a desire to make a real impact, we'd love to hear from you!Responsibilities:Data...

The Eteam Workforce Private Corporation is seeking a highly skilled Health Claims Liason Officer to join our team. As the key point of contact for hospitalized clients, you will be responsible for providing exceptional customer service and ensuring seamless health customer journeys.Key Responsibilities:Assess and adjudicate real-time hospitalization claims...

Job SummaryLacson & Lacson Insurance Brokers, Inc. is looking for an Insurance Compliance Officer to support our Risk and Compliance Department.Responsible for coordinating with government agencies to ensure compliance with regulations.Reviews contracts and ensures inclusion of required clauses.Maintains accurate and up-to-date records of all department...