Investigations and Resolution Specialist

2 days ago


Makati City, National Capital Region, Philippines UnitedHealth Group Full time
Responsibilities

As a Resolutions Specialist, you will be responsible for resolving complex claims and benefits issues. You will work closely with internal stakeholders to ensure timely and accurate resolution.

The ideal candidate will have 3+ years of experience in claims or collections, with a strong analytical mind and excellent problem-solving skills.

  • Resolve complex claims and benefits issues, ensuring timely and accurate resolution.
  • Analyze and identify trends in claims data, providing insightful reports as needed.
  • Collaborate with internal stakeholders to ensure compliance with state and federal regulations.


  • Makati City, National Capital Region, Philippines Visage Executive Search Full time

    Job Title: Chargeback Resolution SpecialistWe are seeking a highly skilled Chargeback Resolution Specialist to join our team at Visage Executive Search.About the RoleThis is an exciting opportunity for an experienced professional to utilize their expertise in accounts payable and receivable, dispute management, and customer service to drive business...


  • Makati City, National Capital Region, Philippines AXA Full time

    OverviewWe are seeking an experienced Legal Investigations Officer to join our AXA team. As a key member of our compliance function, you will play a vital role in ensuring that our business units operate within the boundaries of our policies and procedures.In this role, you will have the opportunity to utilize your investigative skills and experience to...


  • Makati City, National Capital Region, Philippines TapTalent Full time

    Compliance and Investigation Specialist: TapTalent is seeking a highly skilled professional to investigate and resolve compliance issues. The ideal candidate will have a strong background in auditing, risk management, and compliance standards.Key Responsibilities:Investigate compliance issues and develop recommendations for improvementCollaborate with...


  • Makati City, National Capital Region, Philippines Nityo Infotech Full time

    Nityo Infotech is a leading provider of IT services, and we are currently seeking a Fraud Investigation Expert to join our team.As a Fraud Investigation Expert, you will be responsible for receiving and handling disputes from member banks. You will need to assess each dispute promptly and take genuine steps to resolve or clarify using approved dispute...


  • Makati City, National Capital Region, Philippines Nityo Infotech Full time

    Nityo Infotech seeks a highly skilled Dispute Resolution Specialist to join our team. The successful candidate will be responsible for receiving and handling disputes from member banks, assessing each dispute promptly, and taking genuine steps to resolve or clarify disputes using approved dispute resolution processes.Key Responsibilities:Receives and handles...


  • Quezon City, National Capital Region, Philippines Fastrack Multi-Purpose Cooperative Full time

    Investigate employee complaints and grievances in a fair and objective manner.Collaborate with management to develop HR policies and procedures that align with our labor relations strategies.Ensure all investigations and resolutions are conducted in accordance with company policies and relevant laws.Key Responsibilities:


  • Quezon City, National Capital Region, Philippines MOGUL CONSTRUCTION CORPORATION Full time

    About the RoleThe Employee Relations Staff will be responsible for monitoring employee behavior, addressing grievances, and facilitating conflict resolution between employees or management as needed. They will also assist HR in conducting investigations and hearings for employee-related issues.Key Responsibilities:Employee Relations and Conflict...


  • Makati City, National Capital Region, Philippines Business Profiles Inc. Full time

    Job Description:The Field Researcher role at Business Profiles Inc. involves collecting data onsite and remotely via phone and email, as well as conducting interviews, discreet inquiries, elicitation, and social engineering.Key Responsibilities:Conduct comprehensive field research and investigations, including background checks, due diligence, asset tracing,...


  • Makati City, National Capital Region, Philippines Gratitude Philippines Full time

    Job SummaryGratitude Philippines is seeking an experienced Human Resources Manager - Labor Relation to join our team. The successful candidate will be responsible for managing labor relations, implementing policies and procedures, and ensuring compliance with labor laws and regulations.Duties and ResponsibilitiesManage labor relations functions, including...


  • Quezon City, National Capital Region, Philippines Jaber Resolution INC. Full time

    **Job Description**We are seeking an experienced Project Coordination Specialist to join our team at Jaber Resolution INC.**Key Responsibilities**Develop and maintain project schedules to ensure timely completion.Coordinate with cross-functional teams to allocate resources effectively.Analyze project performance data to identify areas for...


  • Makati City, National Capital Region, Philippines John Clements Consultants, Inc. Full time

    Job OverviewWe are looking for an experienced Customer Resolution Expert to join our Service Desk team at John Clements Consultants, Inc. The ideal candidate will have a strong background in technical support and excellent communication skills.Key Accountabilities:Assume initial ownership for the coordination, investigation, and documentation of customer's...


  • Quezon City, National Capital Region, Philippines AUTOLUBE CORPORATION Full time

    About the JobAUTOLUBE CORPORATION is seeking an experienced debt recovery specialist to join our team. As a Payment Resolution Coordinator, you will play a crucial role in ensuring that customers make timely payments and maintaining a positive relationship with our company.Your primary responsibility will be to contact customers by phone, mail, or email to...


  • Quezon City, National Capital Region, Philippines Caldwell Communications Full time

    **Company Overview:**Caldwell Communications is a dynamic and innovative company that offers a wide range of accounts to its clients. We are committed to providing excellent customer service and building strong relationships with our clients.**Job Description:**We are currently seeking a skilled Account Resolution Specialist to join our team. As an Account...


  • Marikina City, National Capital Region, Philippines Jaber Resolution INC. Full time

    **About the Role**We are looking for a highly skilled Finished Goods Specialist to join our team at Jaber Resolution INC.The ideal candidate will have experience in inventory management, quality control, and logistics, with a strong focus on attention to detail and ability to work independently.Key Responsibilities:**Inspect Finished Goods to ensure they...


  • Quezon City, National Capital Region, Philippines Jaber Resolution INC. Full time

    About the PositionJaber Resolution INC. is seeking an experienced Cost Estimator Specialist to join our team. As a key contributor, you will be responsible for analyzing data to prepare accurate cost estimates for various projects.Key ResponsibilitiesAnalyze blueprints, specifications, and other relevant documentation to prepare detailed cost...


  • Makati City, National Capital Region, Philippines Neksjob Corporation Full time

    About the Role:The Neksjob Corporation is seeking a skilled Chargeback Resolution Specialist to join our team. In this role, you will be responsible for actioning guest credit card chargebacks and creating accounts receivable billings to collect funds from unsettled guest onboard expenses, medical expenses, and travel agent commission recalls. This position...


  • Quezon City, National Capital Region, Philippines Fastrack Multi-Purpose Cooperative Full time

    Fastrack Multi-Purpose Cooperative is seeking an HR Conflict Resolution Expert to join our team. This role will involve working closely with employees and management to resolve conflicts and improve workplace relationships.The key responsibilities of this role include:Investigating and mediating employee complaints and grievancesDeveloping and implementing...


  • Makati City, National Capital Region, Philippines Neks Job Philippines Full time

    Welcome to Neks Job Philippines, where we're dedicated to providing world-class customer service. As an Incoming Call Resolution Specialist, you'll play a vital role in ensuring our customers receive exceptional support.Job DescriptionThis is a fantastic opportunity to join our team and utilize your customer service skills to make a real difference. You'll...


  • Quezon City, National Capital Region, Philippines BEST CAREERS AND OPPORTUNITIES Full time

    Job Description:We are seeking an experienced Collection Specialist to join our team. The ideal candidate will have excellent communication skills, a strong work ethic, and the ability to navigate complex situations with ease.Key Responsibilities:Work on delinquent accounts and perform collection activities


  • Mandaluyong City, National Capital Region, Philippines Neksjob Corporation Full time

    Job Description:Neksjob Corporation's Account Resolution Specialist plays a crucial role in addressing customer inquiries and resolving account-related issues. This position requires strong communication and problem-solving skills to ensure timely and effective resolution of customer concerns.Responsibilities:Interact with customers via various channels...