Health Claims Specialist

About the OpportunityThe role of Senior Health Claims Analyst is a critical position within our organization, responsible for reviewing and assessing claims to ensure accurate benefit payouts and adherence to policy details, laws, and regulations.Key Responsibilities:Determine eligible benefits based on submitted documents and policy provisions.Adjudicate...

Job Qualifications: • Graduate of any 4-year medical course related. • Minimum of 5 years in an HMO or health insurance company; and At least 3 years on a Liaison Officer role. • Working experience/knowledge of health general practice (• With Pleasing personality and currently residing in any of the following areas: Metro Manila, Metro Cebu & Davao....

As a Health Claims Liaison Officer, you will be assigned to hospitals across the country, providing support to health clients in Metro Manila, Metro Cebu, and Davao. Your primary role is to manage client relations and ensure seamless healthcare access for hospitalized members.Key Responsibilities:Engage with hospitalized members, ensuring their needs are met...

On-site - Makati 3-5 Yrs Exp Bachelor ContractJob DescriptionDescriptionJob PurposeAs the Health Claims LO you will be assigned to different hospitals across the country and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care...

As the Health Claims LO you will be assigned to different hospitals across the county and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for hospitalized clients.Responsibilities:Assessment / adjudication of "real-time"...

The Eteam Workforce Private Corporation is seeking a skilled Health Insurance Specialist to join our team. In this role, you will be responsible for providing exceptional customer service to our clients and ensuring that their health benefits are accurately processed.Job Summary:Assess and adjudicate hospitalization claims for insured members in...

The opportunityThis Sr. Health Claims Analyst is responsible for the overall review, assessment, and decision of claims.Responsibilities:Determine eligible benefits based on documents submitted and policy provisions.Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround...

**Job Summary:**We are seeking a highly skilled Health Claims Liaison Officer to join our team at Hunter's Hub, Inc. As a key member of our organization, you will be responsible for managing client relations and ensuring seamless healthcare access for hospitalized members across various locations.**Key Responsibilities:**Engage with hospitalized members,...

We are looking for a highly motivated and experienced Claims Liaison Officer - Health Services to join our team. As a Claims Liaison Officer, you will play a critical role in ensuring that our clients receive timely and accurate payment for their health benefits.Main Responsibilities:Engage with hospitalized clients to ensure their needs are attended to and...

Optum, a global organization, delivers care through technology to improve health outcomes. The work with our team enhances health by connecting people with necessary resources.The role of a Healthcare Claims Representative involves resolving claims for health plans and commercial customers. This requires expertise in reviewing, researching, investigating,...

Job Summary:We are seeking a highly skilled Senior Claims Specialist to join our team at Eteam Workforce Private Corporation. In this role, you will be responsible for managing claims documents, conducting pre-adjudications, and recording data in our claims masterfile tracker.Key Responsibilities:Receive and process claims documents from various...

About the RoleThe ideal candidate will have a bachelor's degree in Finance, Administration, or a related field and at least 2 years of experience in processing life insurance claims, adjudicating health or life claims.Key responsibilities include:Drafting settlement, decision, and temporary closure letters.CHUB encoding.Monitoring first and second pending...

As a Healthcare Claims Representative at UnitedHealth Group, you will be part of a global organization that delivers care through technology to enhance health outcomes.Your key responsibilities will include providing expert claims support by reviewing, researching, investigating, negotiating, and resolving claims for health plans and commercial customers.Key...

Job Qualifications:• Must have an experience in processing life insurance claims, adjudicating health or life claims for 2 years and up.• Must be a bachelors degree holder of Finance, Administration or any related• Familiarity with basic regulations governing the insurance industry, including data privacy, anti-bribery and corruption laws.• Strong...

About the RoleWe are seeking a highly skilled Vehicle Claims Specialist to join our team. As a specialist in this field, you will be responsible for assessing and managing vehicle claims from initial reporting to final resolution.Key Responsibilities:Conduct thorough assessments of damaged vehicles to determine extent of damage and cost of repairs.Develop...

Job Overview:ISTA Solutions, a leading outsourcing company, seeks an experienced Healthcare Claims Specialist to join our rapidly expanding team. As a key member of our team, you will have the opportunity to work with highly skilled professionals who prioritize employee satisfaction and work-life balance. Our company prides itself on creating a culture...

P and I Claims Management Inc. is seeking a highly skilled Risk Management Specialist to join our team.The successful candidate will analyze and evaluate claims based on relevant documents to determine their validity and establish liability.Key responsibilities include preparing reports for the Head of Operations, negotiating settlements, and attending...

Job Title: Claims Adjudication ExpertCompany OverviewHunter's Hub Inc. is a leader in the health insurance industry, known for our commitment to excellence and customer satisfaction. As a Claims Adjudication Expert, you will play a critical role in ensuring that our members receive fair and timely decisions on their claims.Job DescriptionAssess and...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Claims Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a...

Job Description Summary:The Sr. Health Claims Analyst will play a key role in reviewing and assessing claims, ensuring accurate benefit payouts, and maintaining compliance with policy details, laws, and regulations.Key Job Responsibilities:Analyze and determine eligible benefits based on submitted documents and policy provisions.Make adjudication decisions...