Claims Processing Expert

1 day ago


Mandaluyong City, National Capital Region, Philippines beBeeAssurance Full time ₱600,000 - ₱800,000
Quality Assurance Specialist

Our organization is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a crucial role in ensuring the quality and accuracy of our claims processing.

Key Responsibilities:
  • Conduct thorough audits of claims to assess compliance with industry standards and internal policies.
  • Review and analyze claims documentation, ensuring accuracy and completeness.
  • Identify discrepancies, errors, and areas for improvement in claims processing.
  • Prepare detailed reports on audit findings, including trends and recommendations for corrective actions.
  • Collaborate with claims processing teams to provide feedback and training on quality standards and best practices.
Required Skills and Qualifications:
  • Minimum of 3 years of experience in claims processing, auditing, or quality assurance within the insurance or healthcare industry.
  • Strong understanding of claims management processes and industry standards.
  • Excellent analytical and problem-solving skills with a high attention to detail.
  • Proficient in using claims management software and Microsoft Office Suite (Excel, Word, PowerPoint).
Benefits:
  • Opportunity to work with a dynamic team and contribute to the growth and development of the organization.
  • Competitive salary and benefits package.
  • Professional development opportunities.
Others:
  • Supports Claims trainer in conducting product training.
  • Conduct audits of claims during new hire training certification exams.


  • Mandaluyong City, National Capital Region, Philippines beBeeClaims Full time ₱3,000,000 - ₱5,000,000

    Job Title: Claims Process Optimization Lead">The primary purpose of this role is to collaborate closely with stakeholders to drive and implement strategic process improvements initiatives that optimize team efficiency while prioritizing exceptional customer service.">The position is accountable for developing and implementing a comprehensive framework for...


  • Marikina City, National Capital Region, Philippines beBeeClaims Full time $60,000 - $70,000

    Job Title: Dental Claims SpecialistThe ideal candidate for this role will possess strong organizational skills, the ability to work independently and efficiently process and manage claims with attention to detail.Key Responsibilities:Follow up on outstanding insurance claims ensuring all follow-ups are properly documented and communicated by adding a...


  • Mandaluyong City, National Capital Region, Philippines beBeeClaims Full time ₱240,000 - ₱320,000

    Job Title: Claims SpecialistWe are seeking a skilled and organized individual to manage administrative tasks related to PhilHealth claims processing.The successful candidate will be responsible for scheduling and receiving claims, reviewing each document for completeness and accuracy, analyzing variances in accordance with PhilHealth policies, determining...


  • Mandaluyong City, National Capital Region, Philippines beBeeClaims Full time ₱3,000,000 - ₱5,000,000

    Transform the landscape of dental claims processing by joining our team as a dedicated professional. You will take on key responsibilities in managing and resolving claims, collaborating with customers to deliver exceptional service.About the JobPrioritize outstanding insurance claims, documenting all follow-ups and communications with insurers.Streamline...


  • Makati City, National Capital Region, Philippines beBeeDentalClaims Full time ₱2,500,000 - ₱4,000,000

    Job OverviewWe are seeking a highly motivated and detail-oriented Dental Claims Specialist to join our team. As a key member of our operations, you will play a critical role in delivering exceptional service to our customers by managing and processing claims, resolving issues, and providing support while upholding our commitment to quality and integrity.Key...


  • Mandaluyong City, National Capital Region, Philippines beBeeMedicalClaims Full time ₱240,000 - ₱396,000

    Job DescriptionWe are seeking a skilled Medical Claims Specialist with expertise in the Athena billing software to fill this key role.The ideal candidate will be responsible for accurately processing and managing medical claims, verifying insurance eligibility and benefits, preparing and transmitting claims using the Athena software, and proactively...


  • Makati City, National Capital Region, Philippines beBeeMedical Full time ₱150,000 - ₱250,000

    Claims Specialist RoleThe Claims Associate plays a vital role in ensuring seamless claim processing and streamlining the claims management process.This position requires strong organizational skills, attention to detail, effective communication, and proficiency in handling multiple tasks simultaneously.The ideal candidate will possess excellent time...

  • Claims Analyst

    1 week ago


    Mandaluyong City, National Capital Region, Philippines EPS Consultants Full time $30,000 - $50,000 per year

    The primary role of this position is to support Claims Adjusters located in North America by completing various tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance policies, documenting claims, and coordinating with adjusters, keeping detailed record of...

  • Claims Admin

    1 week ago


    Mandaluyong City, National Capital Region, Philippines Chubb Business Services Full time $40,000 - $80,000 per year

    Role Purpose:The primary role of this position is to support Claims Adjusters located in North America by completing various complex tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering sensitive, high valued and important claims, reviewing insurance policies, documenting claims, and...

  • Claims Assistant

    1 week ago


    Mandaluyong City, National Capital Region, Philippines San Miguel Corporation Full time ₱900,000 - ₱1,200,000 per year

    Qualifications:At least 5 years of experience in non-life insurance, specifically in claims processing for Motor, Marine & Aviation, Surety & Casualty, or Property & Engineering linesPreferably with Basic Non-Life Insurance certificationStrong analytical and problem-solving skillsProficient in Microsoft Office applicationsWilling to work on-site in Ortigas...