Operational Claims Specialist

7 days ago


Quezon City, National Capital Region, Philippines P and I Claims Management Inc. Full time

We are seeking a qualified Operational Claims Specialist to support our claims team in managing and resolving claims efficiently and effectively.

The selected candidate will work closely with claims handlers to analyze and evaluate claims data, identify potential issues, and develop recommendations for resolution.

This role involves communicating regularly with stakeholders, including clients, brokers, and other third parties, to ensure timely and satisfactory resolution of claims.

A strong attention to detail and excellent organizational skills are essential for success in this position.

  • Attends meetings with third parties as needed.


  • Quezon City, National Capital Region, Philippines Nabati Philippines Full time

    The A&P Claim Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring and monitoring all activities from end to end with the Marketing, Sales & Operations Department.Ultimately, the A&P Claim Specialist maintains a robust and dependable financial data for Nabati in the Philippines.Job...


  • Quezon City, National Capital Region, Philippines Nabati Philippines Full time

    The A&P Claim Assistant assists the A&P Claims Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring, and monitoring all activities from end to end with the Marketing, Sales & Operations Department.Ultimately, the A&P Claim Specialist maintains robust and dependable financial data for...


  • Quezon City, National Capital Region, Philippines Nabati Philippines Full time

    The A&P Claim Assistant assists the A&P Claims Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring and monitoring all activities from end to end with the Marketing, Sales & Operations Department. Ultimately, the A&P Claim Specialist maintains a robust and dependable financial data for...


  • Quezon City, National Capital Region, Philippines Nabati Philippines Full time

    The A&P Claim Assistant assists the A&P Claims Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring and monitoring all activities from end to end with the Marketing, Sales & Operations Department. Ultimately, the A&P Claim Specialist maintains a robust and dependable financial data for...

  • Claims Specialist

    4 days ago


    Makati City, National Capital Region, Philippines JOB MATCHMAKER Full time

    At JOB MATCHMAKER, we are looking for a skilled Claims Specialist to join our team. The ideal candidate will have a strong background in evaluating claims and ensuring that all medical documents are properly filed and labeled.The Key Responsibilities of this role include:Evaluating claims by checking the completeness of documents, necessity and...


  • Quezon City, National Capital Region, Philippines NTT DATA North America Full time

    We are seeking a Claims Resolution Specialist to join our team at NTT DATA North America.About the RoleAs a Claims Resolution Specialist, you will be responsible for handling phone calls from policyholders, beneficiaries, agents, and internal customers, addressing their inquiries and resolving issues in a timely and professional manner.You will need to have...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Job SummaryWe are seeking an experienced Medical Biller to join our team as a Medical Claims Specialist. In this role, you will be responsible for managing and resolving medical claims, collaborating with the supervisory team to improve processes, and communicating effectively with patients and insurance carriers.Responsibilities:Manage and resolve medical...


  • Makati City, National Capital Region, Philippines Hunter's Hub Inc. Full time

    About the Role:Hunter's Hub Inc. is a leading insurance company that requires a dedicated Life Claims Specialist to support our claims process. In this role, you will work closely with claims officers to ensure efficient claim resolution.


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    ResponsibilitiesThe Medical Billing Specialist - AR will be responsible for:Navigating multiple online portals to manage claims efficiently.Regularly communicating with payers to resolve claim issues.Investigating claim denials to identify effective solutions.Managing claim adjustments to ensure accurate payments.Following up on outstanding claims to prevent...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    About the RoleWe are seeking a highly skilled Medical Billing Specialist to join our team at Sourcefit DR. As a key member of our financial team, you will play a crucial role in managing our claims process.Your primary responsibility will be to handle all aspects of claims management, from investigation to resolution. This includes reviewing and analyzing...


  • Quezon City, National Capital Region, Philippines ECLARO Full time

    Key ResponsibilitiesThis position will be responsible for managing the Claims email box, meeting service level agreements, setting up the claim in ImageRight and the Claims system. Key responsibilities include working directly with brokers and/or insureds for details required to complete the setup of the claim, collecting and reporting the necessary data...


  • Makati City, National Capital Region, Philippines Hunter's Hub Inc Full time

    Job OverviewHunter's Hub Inc is seeking a highly organized and detail-oriented Claims Support Specialist to join our team. This role will play a crucial part in ensuring the smooth operation of our email management system.The successful candidate will be responsible for managing incoming emails, prioritizing tasks, and collaborating with team members to...


  • Quezon City, National Capital Region, Philippines Arch Insurance Full time

    Job DescriptionAs a Claims Administrator at Arch Insurance, you will be responsible for handling claims related correspondence, updating claims records, and coordinating with internal teams.Main DutiesTriage and allocate incoming claims correspondenceUpdate and maintain accurate claims recordsBook transactions into our systemProcess claims payments and...


  • Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    We are a dynamic healthcare company, Sourcefit DR, looking for a skilled Healthcare Claims Specialist to join our team. In this role, you will be responsible for managing the entire claims process from submission to payment.About Our Team:We believe in excellence in all we do and encourage the personal development and professional growth of our team members...


  • Makati City, National Capital Region, Philippines Trinity Workforce Solutions Full time

    As a Claims Validation Specialist, you will play a critical role in ensuring the accuracy and integrity of insurance claims. Your expertise will be instrumental in identifying potential issues and discrepancies, and providing solutions to resolve these matters.Key Responsibilities:Verifying claim information and conducting thorough...

  • Claims Analyst

    22 hours ago


    Quezon City, National Capital Region, Philippines ECLARO Full time

    ECLARO Quezon City, National Capital Region, PhilippinesClaims AnalystECLARO Quezon City, National Capital Region, Philippines3 days ago Be among the first 25 applicantsRole Title: Claims AnalystECLARO: A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia...

  • Claims Professional

    21 hours ago


    Quezon City, National Capital Region, Philippines ECLARO Full time

    About ECLAROECLARO is a professional services firm with operations in the U.S., Canada, UK, Ireland, Australia, and the Philippines.We provide strategic staffing, permanent placement, custom outsourcing & offshoring services to clients worldwide.Our proprietary TRINIT-E Service Maturity Model helps clients implement programs for innovation, automation, and...


  • Quezon City, National Capital Region, Philippines Stark Asia Solutions Inc. Full time

    An Insurance Claims Support Specialist assists clients with insurance inquiries, processes claims, updates policy information, and resolves issues efficiently. They ensure client satisfaction, maintain accurate records, and ensure compliance with company policies while working closely with other departments for smooth service delivery.Work Setup:Onsite -...


  • Quezon City, National Capital Region, Philippines ECLARO Full time

    About the JobWe are seeking a detail-oriented claims processor who will prepare claim forms, verify information, and correspond with agents, clients, and claimants.The successful candidate will have excellent organizational and interpersonal skills and be able to work under pressure.Key responsibilities include:Reviewing Claim SubmissionsPreparing Claim...


  • Quezon City, National Capital Region, Philippines P and I Claims Management Inc. Full time

    P and I Claims Management Inc. requires a highly skilled Case Analysis Director to lead our case analysis team.The ideal candidate will have extensive experience in analyzing complex claims data to identify trends and patterns, and providing actionable insights to inform business decisions.This role involves working closely with cross-functional teams to...