Claims Management Associate Expert

As an Insurance Claims Examiner/Associate at TrabaGo PH, Incorporated, you will play a critical role in ensuring the accuracy and efficiency of the claims processing system. Your primary responsibilities will include reviewing insurance claim submissions, assessing the validity of claims, and communicating with clients to resolve any discrepancies or issues....

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...

As a Claim Processing Associate at TrabaGo PH, Incorporated, you will be responsible for supporting the claims team in ensuring the efficient and accurate processing of insurance claims. Your key responsibilities will include filling out claims' forms, interviewing clients to gather information, and maintaining a database of claim records. You will also be...

ResponsibilitiesAs a Claims Processing Expert at Optum, you will play a critical role in ensuring the smooth operation of our medical claims collection process. Your responsibilities will include:Collecting and processing medical claims from healthcare providersWorking closely with insurance companies to verify claim status and resolve payment...

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...

Crimson Group Inc. invites applications for the position of Construction Claims Expert. As a seasoned professional in cost management, you will be instrumental in identifying and resolving claims against customers, ensuring the profitability of our projects.Your main duties will encompass:Analyzing and evaluating subcontractor bills to determine the validity...

JOB PURPOSE:The role will be responsible for receiving and reviewing insurance claim submissions, assess the information provided in a claim to verify its accuracy, process insurance claim payouts, create claim documentation, and communicate with business representatives, insurance agents, and clients. The role also involves creating a database of claim...

ABOUT YOUBachelor's Degree in operations management.At least 1 year of experience in claims and arbitration, preferably in a related field.Proficient in Microsoft Office and relevant software.Keen attention to detail and ability to manage large volumes of data.Excellent verbal and written communication skills, with the ability to explain claims validation...

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 Description: The Claims Specialist will be responsible for reviewing, processing, and settling claims in accordance with company guidelines and procedures. This includes collaborating with coordinators to ensure a smooth flow of information and documentation, maintaining accurate records of all claims, investigating and analyzing claim details, and...

RESPONSIBILITIES:- Evaluates claims receive by checking the completeness of documents, necessity and reasonableness of expenses. - Encoding and simplification of diagnosis-data entry. - Conducts routine reconciliation of Outstanding Accounts with Providers to be reported to Provider Relation Department. - Ensures that all medical claims documents are...

Job Title: Claims and Arbitration AssociateAbout J&T Express:We are a leading logistics company dedicated to providing fast, reliable, and secure services to our customers. Our mission is to deliver exceptional customer experiences by exceeding their expectations.Job Summary:The successful candidate will be responsible for handling claims arising from...

Company Overview:Design Staff Australia is a leading Australian firm that offers expert services to the insurance industry.We are currently seeking a highly skilled Claims Investigator to join our team. As a Claims Investigator, you will be responsible for investigating and processing disability insurance claims from Australian superannuation funds.Job...

Job Summary:J&T Express is seeking a highly motivated and organized Claims and Arbitration Associate to join our team. The ideal candidate will have excellent communication skills, attention to detail, and problem-solving abilities.Key Responsibilities:Process and resolve claims in a timely and efficient manner.Conduct thorough investigations into claims,...

Process Improvement ExpertWe are seeking a seasoned Claims Functional Lead to drive process improvements in our Return to Shipper (RTS) / Claims process at Shopee. The successful candidate will have extensive experience in process analysis and implementation, with a strong focus on efficiency and effectiveness.The ideal candidate will possess excellent...

**About the Role:**The Claims and Billing Coordinator will be responsible for coordinating the entire claims process from start to finish, ensuring that all necessary information is collected and submitted to payers in a timely manner.**Key Responsibilities:**Coordinate with patients, healthcare providers, and payers to obtain necessary information and...

Minimum Qualifications:Associate's or bachelor's degree in fields such as accounting, finance, business administration, or any related course.Professional Experience:Understands the complexities of billing cycles and claims management.Technical Skills:Proficient in both MS Office and Google Workspace.Key Competencies:Attention to DetailAbility to manage...

Discover your 100% YOU with MicroSourcingPosition: Claims Processor AssociateLocation: Ortigas, PasigWork setup & shift: Onsite/ DayshiftWhy join MicroSourcing?You'll have:Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance...

Job DetailsThe Claim Management Professional will be responsible for managing the entire claims process, from initial review to final settlement. This role requires strong analytical skills, attention to detail, and excellent communication abilities.Key Responsibilities:Claim Analysis: Analyze claims to identify potential issues, risks, and areas for...

Job Summary: We are seeking a skilled Claims Specialist to join our team at JobsAvenuePH. This is a full-time, work-from-home position with an Australian Claims Management Services company. About the Role: As a Claims Specialist, you will be responsible for reviewing, processing, and settling claims in accordance with company guidelines and procedures. You...