Claims Specialist
1 day ago
As a claims professional, you will play a critical role in reviewing and evaluating customer claims to ensure their accuracy, eligibility, and compliance with established company policies.
Key Responsibilities:- Examine and assess customer claims submitted through various channels to determine their validity and eligibility.
- Investigate claims to verify the information provided by customers and ensure it aligns with company procedures and protocols.
- Analyze supporting documentation to support claim decisions and identify areas for improvement.
- Determine appropriate settlement amounts for valid claims based on company guidelines and industry standards.
- Maintain accurate and detailed records of all claim activities to facilitate effective communication and issue resolution.
- Communicate effectively with customers regarding the status of their claims, providing timely updates and resolving any issues that may arise.
The ideal candidate will possess excellent analytical and communication skills, with the ability to work independently in a fast-paced environment. If you are a detail-oriented and organized individual who is passionate about delivering exceptional results, we encourage you to apply for this exciting opportunity.
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Healthcare Claims Specialist
2 days ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeClaims Full time ₱35,000 - ₱50,000Job SummaryWe are seeking a meticulous and organized individual to join our team as a Healthcare Claims Specialist. In this role, you will be responsible for managing the submission, follow-up, and resolution of healthcare claims.About the RoleYou will work closely with our medical providers and administrative staff to ensure timely and accurate submission...
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Healthcare Claims Specialist
2 days ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeClaims Full time ₱300,000 - ₱480,000Job Title:Healthcare Claims SpecialistAbout the Job:This is a critical role in our organization where you will be responsible for ensuring timely and accurate posting of medical charges, payments, and journal entries to patient accounts. Your expertise in claims processing will enable us to provide excellent service to our clients.Key Responsibilities:Verify...
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Remote Medical Claims Specialist
2 days ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeClaims Full time $60,000 - $80,000Medical Claims SpecialistThis role focuses on reducing claim denials and recovering aging or stale claims. You'll work directly in the client's billing system, managing claim queues and communicating with payers to ensure timely and accurate reimbursement.Main ResponsibilitiesReview and manage denied or aging claims within the client's billing...
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Dental Claims Professional
1 day ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeDentalClaims Full time ₱540,000 - ₱720,000We are seeking a highly motivated and detail-oriented dental claims specialist to fill this critical role. The successful candidate will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.
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Claims Specialist
1 day ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeCustomerService Full time ₱1,200,000 - ₱1,800,000Job Title:Customer Service and Claims CoordinatorJob Description:Deliver excellent customer service and continuously improve processes.
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Pulong Santa Cruz, Calabarzon, Philippines beBeeClaims Full time ₱35,000Job OverviewWe are seeking a skilled and detail-oriented Claims Resolution Specialist to join our team.This role involves investigating and resolving customer claims related to branded merchandise, working closely with internal departments to gather relevant information, identify root causes, and determine the best course of action.Key...
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Medical Claims Specialist
17 hours ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeSpecialist Full time ₱60,000 - ₱90,000Job DescriptionWe are seeking a skilled Medical Biller/Accounts Receivable Specialist to join our team at Bizforce. The successful candidate will work from home and have the opportunity to work with a dynamic team in a fast-paced environment.Responsibilities:Manage accounts receivables and keep up-to-date recordsCoordinate with healthcare providers and...
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Remote Insurance Claims Manager
1 day ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeBilling Full time ₱60,000 - ₱80,000Long-Term Care Billing SpecialistWe are dedicated to delivering exceptional support to long-term care facilities across the country. Our remote operations require a proactive, detail-oriented billing specialist to manage insurance claims and collections.Key Responsibilities:Manage insurance billing and collections for assigned facilitiesReview and process...
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Auto Glass Claims Manager
1 day ago
Pulong Santa Cruz, Calabarzon, Philippines beBeewarranty Full time ₱600,000 - ₱1,200,000At WindshieldHUB, we're dedicated to delivering exceptional service and maintaining the highest standards of safety and workmanship. As a leading nationwide auto glass replacement and repair company, we're seeking an experienced Warranty Specialist to join our team remotely.Job OverviewThis role is focused on managing and adjudicating vehicle warranty claims...
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Remote Nursing Home Claims Specialist
2 days ago
Pulong Santa Cruz, Calabarzon, Philippines beBeeClaims Full time ₱500,000 - ₱800,000We are seeking a highly skilled Nursing Home Claims Specialist to join our team. Our company is dedicated to delivering top-tier support to long-term care facilities across the country.In this role, you will be responsible for managing insurance billing and collections for assigned facilities. This includes reviewing and processing claims with a high degree...
