Remote Claims Resolution Specialist

2 weeks ago

Porac, Philippines beBeeClaims Full time ₱35,000

We are looking for a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for investigating and resolving customer claims related to promotional products.

As a Claims Resolution Specialist, you will manage and investigate incoming customer claims, including those related to incorrect or missing imprints, damaged or defective products, late or misdelivered shipments, pricing discrepancies, or billing concerns.

Key Responsibilities:

  • Manage and investigate incoming customer claims

  • Cross-Departmental Collaboration: Work closely with internal departments such as Production, Art, Sales, Shipping, and Customer Service to gather relevant information, identify the root cause, and determine the appropriate resolution

  • Customer Communication: Communicate with customers professionally and empathetically throughout the claims process. Provide updates, explain investigation findings, and present resolution options

  • Resolution Execution: Coordinate and process claims resolutions, including product reprints, credits, refunds, replacements, or discounts, in alignment with company guidelines and authorization levels

  • Documentation & Reporting: Maintain accurate and thorough documentation of all claims, outcomes, communications, and resolution actions within internal systems. Assist in preparing trend reports and contributing to process improvement initiatives

  • Quality Feedback Loop: Identify recurring issues and escalate them to the Claims Manager to help drive improvements in product quality, vendor accountability, and fulfillment accuracy

Requirements:

  • Minimum 2 years of experience in customer service, claims resolution, or order investigation, ideally within the promotional products industry or a similar custom manufacturing environment

  • Strong analytical and investigative skills

  • Excellent verbal and written communication abilities

  • Ability to handle sensitive situations with professionalism and empathy

  • High attention to detail and strong organizational habits

  • Comfortable navigating multiple systems, including order management and CRM platforms

  • Ability to manage multiple claims simultaneously in a fast-paced environment

  • High school diploma or GED required

  • Familiarity with the promotional products lifecycle, including customization methods (e.g., screen printing, embroidery, pad printing, etc.)

  • Experience working with vendors, decorators, and fulfillment partners

  • Proficiency in ERP and CRM systems used in the promotional products industry

Benefits:

  • Permanent work-from-home setup

  • Company equipment provided

  • Internet stipends upon regularization

  • HMO Coverage

  • PTO credits and service incentive leaves

  • Major spring and winter company live events

  • Monthly employee appreciation virtual events

  • Company-provided career skills training courses

  • A company culture focused on your personal and professional growth

  • Healthcare Claims Coordinator

    2 weeks ago

    Porac, Philippines beBeeAccountability Full time ₱372,000 - ₱473,000

    Medical Billing Specialist Job DescriptionWe are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have experience in medical billing, accounts receivable, or claims management and be proficient in Prompt EMR and Microsoft Office Suite.Main Responsibilities:Prepare and submit medical claims...

  • Insurance Claims Processor

    2 weeks ago

    Porac, Philippines beBeeClaims Full time ₱400,000 - ₱550,000

    Dental Claims Specialist Role OverviewAs 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 while upholding our commitment to quality and integrity.Key Responsibilities:Follow-up status of outstanding...

  • Medical Claims Specialist

    2 weeks ago

    Porac, Philippines beBeemedical Full time ₱250,000 - ₱350,000

    Job OverviewWe are seeking a highly skilled Medical Claims Specialist to join our team. The ideal candidate will possess excellent written and oral communication skills, attention to detail, and the ability to multitask.

  • Healthcare Claims Processor

    2 weeks ago

    Porac, Philippines beBeeClaims Full time $9,600

    Medical Claims SpecialistThe role of a Medical Claims Specialist involves working in healthcare facilities, submitting claims to insurance companies, and ensuring accurate data entry. A strong foundation in US Healthcare Claims Customer Service is essential for this position.">Effective communication and attention to detail are crucial skills for success in...

  • Dental Insurance Claims Professional

    2 weeks ago

    Porac, Philippines beBeeDentalClaimsSpecialist Full time ₱300,000 - ₱500,000

    Dental Claims SpecialistAs a skilled professional in dental claims management, you will play a pivotal role in delivering exceptional service to our valued clients. Your primary responsibilities will include managing and processing claims, resolving issues, and providing top-notch support while upholding the highest standards of quality and integrity.You...

  • Ophthalmology Optometry Medical Claims Specialist

    2 weeks ago

    Porac, Philippines beBeeRevenue Full time ₱800,000 - ₱1,200,000

    Job Title:Medical Claims SpecialistWe are seeking dedicated Medical Claims Specialists to work from home. The ideal candidate will have expertise in medical billing and coding, with a strong understanding of healthcare insurance plans and related policies.Responsibilities include managing accounts receivables, coordinating with healthcare providers and...

  • Medical Claims Analyst

    2 weeks ago

    Porac, Philippines beBeemedical Full time ₱250,000 - ₱350,000

    Medical Billing SpecialistWe are seeking a detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.

  • Detailed Oriented Insurance Claims Processor

    2 weeks ago

    Porac, Philippines beBeeInsuranceVerification Full time ₱960,000 - ₱1,088,000

    Job DescriptionInsurance verification specialists play a vital role in ensuring that patient claims are processed efficiently. In this capacity, you will be responsible for verifying insurance coverage, benefits, and eligibility to guarantee smooth billing and claims processing.Our team is seeking an experienced Insurance Verification Specialist who can...

  • Medical Claims Recovery Specialist

    2 weeks ago

    Porac, Philippines beBeeBillingspecialist Full time $60,000 - $120,000

    Job OpportunityWe are seeking a detail-oriented professional to support our revenue cycle operations. This role is primarily focused on reducing claim denials and recovering aging or stale claims.Log into our billing system to review and manage denied or aging claims.Work claim queues to identify root causes of denials and submit appropriate documentation or...

  • Remote Technical Support Specialist

    2 weeks ago

    Porac, Philippines beBeeTechnical Full time ₱100,000 - ₱120,000

    We are seeking skilled Remote Technical Support Specialists to provide exceptional technical assistance and troubleshooting support for various clients across industries.Job DescriptionRespond to inbound technical support requests via phone, chat, or email with a focus on timely and effective resolutions.Utilize strong problem-solving skills to diagnose and...