Financial Claims Examiner

Job Opportunity:We are seeking a highly skilled professional to fill the position of Insurance Claims Examiner. This role is ideal for individuals with strong analytical and problem-solving skills, as well as excellent communication abilities.The successful candidate will be responsible for investigating and resolving insurance claims in a fair and timely...

Job SummaryA claims processor is responsible for reviewing and evaluating customer claims, ensuring their accuracy, eligibility, and compliance with policies. This involves investigating claims, determining validity, and settlement amounts while maintaining detailed records.Main Responsibilities:Review and evaluate customer claims submitted through various...

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...

Skilled Nursing Facility Biller OpportunityBilling Specialist Role Overview:The Billing Specialist will be responsible for managing the billing and collection processes in a healthcare environment, particularly for skilled nursing facilities with proficiency in using PCC (PointClickCare).Key Responsibilities Include:Billing Management: Manage the billing...

Job Title: Medical Billing SpecialistWe are seeking a detail-oriented and results-driven medical billing professional to join our team in revenue cycle operations.This role is primarily focused on reducing claim denials and recovering aging or stale claims. You will work directly in the client's billing system, managing claim queues, and communicating with...

Job Title: Health Claims Adjudicator **Role Overview:**We are seeking an experienced Health Claims Adjudicator to join our team. The ideal candidate will have a strong background in health claims adjudication, with excellent analytical and problem-solving skills.**Key Responsibilities:*** Adjudicate reimbursement claims on outpatient and inpatient benefits...

Role Overview:This role involves delivering comprehensive training programs for claims examiners, ensuring they have the necessary skills and knowledge to perform their duties effectively.

BENEFITS/PERKSCompetitive Salary13th and 14th month guaranteedPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceHybrid Work Set-up after 6 months of employmentJOB DETAILS / ROLE PURPOSEThe role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service...

Job Summary:The Operations Claims Administrative Support role provides essential administrative and operational assistance within the claims department. This position ensures the accurate processing of claims, supports workflow management, and facilitates communication between internal teams and external stakeholders.Key Responsibilities:Review insurance...