Claims Resolution Specialist
1 day ago
We are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.
As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.
The ideal candidate will have a strong analytical mind and excellent communication skills. They will be able to work independently and as part of a team, and will be proficient in computer applications.
Required Skills and Qualifications- High school diploma or equivalent
- 4+ years of experience in claims recovery and resolution
- Moderate proficiency with computer applications
- Ability to multi-task and understand multiple products and benefits
As a Claims Resolution Specialist at UnitedHealth Group, you will enjoy a range of benefits, including comprehensive health insurance, retirement savings plan, and paid time off.
Physical Requirements and Work EnvironmentThis role requires prolonged sitting at a computer and use of hands/fingers across keyboard or mouse.
At UnitedHealth GroupOur mission is to help people live healthier lives and make the health system work better for everyone. We believe that diversity creates a healthier atmosphere and are committed to equal employment opportunities.
Join us to start Caring. Connecting. Growing together.
-
Disputes Resolution Specialist
21 hours ago
Quezon City, National Capital Region, Philippines beBeeResolution Full time ₱800,000 - ₱1,200,000Disputes Resolution SpecialistAs a Disputes Resolution Specialist, you will be responsible for engaging directly with clients to facilitate optimal outcomes for their claims. You will uphold a high standard of customer service and ensure that all customer communications are accurate and professionally composed.You will work closely with the New Zealand...
-
Senior Claims Manager
2 days ago
Makati City, National Capital Region, Philippines beBeeCustomer Full time ₱1,200,000 - ₱1,800,000Claims Leadership OpportunityA visionary leader is sought to oversee the claims management process for a prominent insurance company. The ideal candidate will possess strong leadership skills, excellent problem-solving abilities, and a customer-centric mindset.This role offers a unique chance to lead a high-performing team and drive operational excellence in...
-
Dental Claims Specialist
5 days ago
Makati City, National Capital Region, Philippines SuperStaff Full timeAs a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.Follow-up status of outstanding insurance claims, make sure all follow-ups...
-
Claim Processing Coordinator
5 days ago
Makati City, National Capital Region, Philippines beBeeMedical Full time ₱150,000 - ₱250,000Claims 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...
-
Senior Manager of Claims Operations
6 days ago
Makati City, National Capital Region, Philippines beBeeClaims Full timeJob Title: Senior Manager of Claims OperationsJob Summary:We are seeking an experienced Senior Manager of Claims Operations to lead our claims management team. The ideal candidate will have a proven track record of managing complex claims processes, ensuring timely and effective resolution of claims.Key Responsibilities:Manage the end-to-end claims process,...
-
Claims Assistant
3 weeks ago
Quezon City, National Capital Region, Philippines FPG Insurance Inc Full timeBuild a career with FPG Insurance and be part of a team that creates dynamic, customer-focused insurance solutions.Our focus is on commitment and innovation across solutions for our clients, partners, shareholders, and employees alike. This focus results in the creation of an environment in which innovation, ideas, and empowerment is unreservedly encouraged....
-
Claims Management Specialist
7 days ago
Makati City, National Capital Region, Philippines beBeeClaims Full timeAs a professional in the field of claims management, you will play a vital role in maintaining and prioritizing a portfolio of claims on a daily basis. This will ensure timely and accurate processing of these claims.The successful candidate will join a team of professionals based in Manila who are responsible for claim analysis, defense, pursuit, advising,...
-
Medical Claims Specialist
4 days ago
Makati City, National Capital Region, Philippines beBeeCareer Full time ₱300,000 - ₱450,000Job OpportunityWe are seeking an experienced professional to fill a Medical Billing Specialist position within our expanding team.About the RoleVerify patient eligibility and benefits for various treatments, hospitalizations, and procedures.Review and verify patient bills for accuracy and completeness, and obtain any necessary information.Follow up on unpaid...
-
Senior Insurance Claims Coordinator
23 hours ago
Makati City, National Capital Region, Philippines beBeeClaims Full time ₱350,000 - ₱550,000Job Title:Dental Claims SpecialistJob Description:We are seeking a highly motivated and organized individual to play a critical role in delivering exceptional service to our customers.The Dental Claims Specialist will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to...
-
Shipping Claims Specialist
4 days ago
Makati City, National Capital Region, Philippines beBeeClaim Full time ₱800,000 - ₱1,200,000About the RoleThe Voyage Claims Advisor will join Shell Trading & Supply as a Night Shift role in Manila. The team provides Demurrage and Post Deal Expense claim analysis, defense, pursuit, advice, and settlement on behalf of companies within the North American business.Key ResponsibilitiesMaintain and prioritize a portfolio of claims daily, ensuring timely...