Claims Process Specialist

Job Overview:InLife Health Care seeks a skilled Claims Processing Specialist to handle reconciliation requests from accredited providers.About the Position:The successful candidate will be responsible for reviewing and processing claims, coordinating with providers, and ensuring timely updates on claim status.Main Duties:Claims Review and CoordinationCompare...

Job DescriptionWe are seeking a highly skilled Claims Specialist to join our team at TakeCare Asia Philippines, Inc. As a Claims Specialist, you will play a crucial role in ensuring the accuracy and efficiency of our claims process.Key Responsibilities:Investigate all possible Medicare and other insurance COB information utilizing the Medicare verification...

Job DescriptionWe are seeking a highly skilled Claims Resolution Specialist to join our team at Shopee. As a Claims Resolution Specialist, you will be responsible for investigating and processing claims related to lost, damaged, or delayed goods in transit.Gather evidence to support claims, including pre-shipment videos and photos, and work closely with our...

We are looking for a skilled Claims Functional Lead to oversee the RTS and claims function. The successful candidate will possess excellent analytical, problem-solving, and communication skills.Responsibilities:Ensure all RTS parcels meet SOPs and KPIsWork with the claims team to optimize RTS and claims processingCoordinate with SOC Ops, Middle Mile, and...

About the Job:Cognizant is seeking a Claims Processing Executive to join our team in Cebu. As a Claims Processing Executive, you will be responsible for reviewing and analyzing medical claims, identifying any discrepancies or issues that may impact reimbursement.Your Key Duties:Analyze and process medical claims, ensuring accuracy and compliance with...

Job SummaryAs a Junior Claims Specialist, you will be responsible for attending to, assessing, and resolving claims related to motor and non-motor insurance lines.You will work closely with the account management team and insurance partners to ensure that clients' needs are met promptly and efficiently.

Shopee is a part of Sea Group, a leading global consumer internet company. Shopee's mission is to provide financial services through technology to improve the lives of individuals and businesses in our region.Job Description:We are seeking a skilled Claims Specialist to join our team. In this role, you will be responsible for evaluating and processing...

Role OverviewThis Returns and Claims Specialist role is responsible for managing the return to shipper/seller process at Shopee, ensuring efficient parcel dispatch and minimizing claims on returns to shipper. The ideal candidate will have a strong understanding of logistics and e-commerce processes.Key ResponsibilitiesManage Return to Shipper processes to...

Job SummaryWe are seeking a skilled Insurance Claims Specialist to join our team at ICA Insurance and Surety Services. This role is responsible for supporting both the claims and underwriting functions.Key Responsibilities:Claims Coordination:1. Manage the intake, processing, and documentation of insurance claims.2. Communicate with policyholders, claimants,...

Key ResponsibilitiesClaims Management: The Insurance Claims Supervisor will be responsible for coordinating with insurers and clients to ensure timely resolution of insurance claims. This includes ensuring that claims decisions are fair and adhere to insurance policy contract coverage, terms, and conditions.Team Supervision: The supervisor will lead and...

Job SummaryWe are seeking a skilled Warranty Claims Specialist to join our team at KIA. In this role, you will be responsible for the efficient and effective processing of warranty claims and parts repairs and replacement.About UsKIA is a leading manufacturer of vehicles that prioritizes customer satisfaction and quality. Our goal is to provide our customers...

Company Overview:Remote Staff, in partnership with JobsAvenuePH, is a leading provider of remote work opportunities. We pride ourselves on offering flexible and rewarding careers to individuals around the world.Salary:We offer competitive and negotiable compensation, depending on skill level and experience. Our employees enjoy a 100% coverage on Government...

Job RequirementsThe Claims Functional Lead will be responsible for managing the overall Returns/Claims process, ensuring adherence to SOPs and KPIs, and collaborating with the returns team to optimize past due item management and minimize claims.Manage the entire Returns/Claims lifecycle from receipt to resolution.Develop and implement strategies to improve...

Job Description:The Private Advertiser is seeking a highly skilled Medical Claims Specialist to join our team. As a key member of our revenue cycle, this role plays a critical part in ensuring timely and accurate reimbursement for medical services rendered.Key Responsibilities:Contact insurance companies to resolve payment discrepancies and negotiate...

**Job Description:**We are looking for a highly motivated and detail-oriented Claims Processing Expert to join our team. The successful candidate will be responsible for processing complex insurance claims and operating various client systems.Responsibilities Include:Processing complex insurance tasks and operating various client systems...

Job DescriptionHunters Hub Inc. is seeking a skilled Medical Insurance Claims Specialist to join our team.About the Role:Assess and adjudicate medical claims for insured members in real-time, ensuring timely and accurate decision-making.Analyze medical documents to determine claim validity and make informed decisions.Communicate effectively with clients and...

Job Description:Duties & Responsibilities:Conduct thorough investigations of questionable claims to ensure accurate and fair adjudication.Utilize expertise to resolve claims by approving or denying, calculating benefits due, initiating payment, and preparing notice to members after case adjudication.Maintain detailed documentation of medical claims by...

About the JobZIA is looking for a highly skilled Dental Claims Specialist to join our team. The successful candidate will have extensive experience in oral surgery billing and coding.ResponsibilitiesBilling and Coding: Accurately code dental oral surgery procedures using ICD-10, CPT, and CDT codes.Claims Submission: Submit clean, accurate, and timely claims...

Remote Staff, in partnership with JobsAvenuePH, is seeking a skilled and detail-oriented Claims Specialist to join our team. This is a full-time, work-from-home position, offering the opportunity to work with an Australian Claims Management Services company.Key Responsibilities:Review, process, and settle claims in accordance with company guidelines and...

Discover your 100% YOU with MicroSourcingPosition: Medical Claims and Billing SpecialistLocation: Global One, Eastwood, Quezon CityWork Set-up & Shift: Night Shift & Onsite in EastwoodYour Role:As a Medical Claims and Billing Specialist you will:Process and submit insurance claims in accordance with insurer requirements and federal regulations.Handle billing...