Claims Processing Expert

Process Improvement ExpertWe are seeking a seasoned Claims Functional Lead to drive process improvements in our Return to Shipper (RTS) / Claims process at Shopee. The successful candidate will have extensive experience in process analysis and implementation, with a strong focus on efficiency and effectiveness.The ideal candidate will possess excellent...

Job Description:The Insurance Claims Expert will be responsible for reviewing and analyzing insurance claims to ensure compliance with company policies and regulatory requirements.Duties and Responsibilities:Conduct thorough reviews of claims to determine coverage and coding accuracy.Identify and resolve complex claims issues through collaboration with...

Role OverviewThe Claims Resolution Expert is a critical member of our team, responsible for handling complex claims and providing expert guidance to policyholders, beneficiaries, agents, and internal customers.Responsibilities:Analyze and resolve complex claims, often requiring collaboration with external vendors and stakeholders.Communicate clearly and...

About UsWe are TakeCare Asia Philippines, Inc., a leading healthcare company dedicated to providing innovative solutions to our customers. As a Claims Resolution Expert, you will play a critical role in ensuring that our members receive timely and accurate claims resolutions.Key Responsibilities:Subrogation and Coordination of BenefitsAnalyze Medicare and...

As a Claim Processing Associate at TrabaGo PH, Incorporated, you will be responsible for supporting the claims team in ensuring the efficient and accurate processing of insurance claims. Your key responsibilities will include filling out claims' forms, interviewing clients to gather information, and maintaining a database of claim records. You will also be...

About the RoleWe are seeking a skilled and experienced Claims Supervisor to join our team at ETIQA LIFE AND GENERAL ASSURANCE PHILIPPINES, INC. The successful candidate will be responsible for overseeing the entire claims process from submission to resolution.This is an excellent opportunity for individuals who are passionate about insurance and have a...

About the TeamWe are a dynamic team at Emapta Philippines, recognized as one of the Top 20 Dream Companies of Filipinos in 2024. We value camaraderie, excellence, and growth, and we are committed to empowering our employees' success.In this role as an Accurate Claims Resolution Expert, you will be responsible for evaluating and processing insurance claims,...

Medical Claim Resolution ExpertViventis Search Asia is seeking a Medical Claim Resolution Expert to help our partner in the BPO industry navigate the complexities of medical claim denials.About the Role:Claim Denial Resolution: Resolve denied medical claims by preparing and submitting appeals that address specific issues and regulations.Collaboration with...

Job OverviewWe are looking for a highly motivated Claims Processing Professional to join our team. In this role, you will be responsible for reviewing and assessing insurance claims to ensure alignment with policy criteria. Your strong analytical skills and attention to detail will enable you to make informed decisions regarding claim validity.You will work...

Job SummaryThe Claims Reconciliation Expert position at John Clements Consultants, Inc. involves coordinating and facilitating claims and payment reconciliation processes. The ideal candidate will possess excellent analytical skills, attention to detail, and strong communication abilities.Reconciliation Tasks: Coordinate with cross-functional teams to...

Job SummaryThis Medical Billing and Accounts Receivable Expert will play a key role in optimizing the revenue cycle process for our clients.Responsibilities include managing the preparation of invoices, reconciling billing with accounts receivables, educating customers on receiving claims and remitting payments online, and monitoring outstanding...

Work from Home OpportunityThe company offers 100% work-from-home setup, allowing candidates to manage their time efficiently and enjoy a better work-life balance. With over 17 years of experience in the remote work industry, they have helped more than 8K Filipinos establish virtual careers with international clients since 2007.Job Description:The successful...

Role OverviewOceanic is looking for a Claims Coordinator to join our team. As a Crew Claims Coordinator, you will be responsible for coordinating the processing and validation of medical claims for our crew members. This role requires strong organizational skills, excellent communication abilities, and a commitment to delivering high-quality...

Role SummaryWe are seeking a highly skilled Claims Functional Lead to manage the overall Return to Shipper / Seller and Claims process.This role requires strong leadership skills, excellent communication abilities, and a keen eye for detail.The successful candidate will collaborate with various teams, including Claims, SOC Ops, Middle Mile, and Fleet...

Role OverviewThe Billing Specialist will be responsible for managing the entire billing process, from initial claim submission to final payment receipt. This includes verifying patient insurance coverage, obtaining necessary authorizations, and resolving any billing discrepancies that may arise.Key ResponsibilitiesBilling Process ManagementPrepare and submit...

Job RequirementsTo be successful in this role, you will need to have a strong understanding of life insurance policies and claims processes. You should be able to communicate effectively with clients and internal stakeholders, and have excellent interpersonal skills. You will also need to be able to work in a fast-paced environment and meet deadlines, and...

Job RequirementsTo be considered for the Claims Process Improvement Specialist role, you must have a Bachelor's degree in Industrial/Management Engineering or a related field. At least 5-8 years of relevant experience in warehousing, e-commerce, logistics or related fields is also required.You will be responsible for ensuring that all RTS parcels are...

Company Overview:Design Staff Australia is a leading Australian firm that offers expert services to the insurance industry.We are currently seeking a highly skilled Claims Investigator to join our team. As a Claims Investigator, you will be responsible for investigating and processing disability insurance claims from Australian superannuation funds.Job...

At Irish Expert, we are seeking a talented Global Visa Expert to join our team. As a key member of our immigration services division, you will play a crucial role in providing expert advice on available visa options and eligibility criteria to clients.Key Responsibilities:Provide exceptional client service, counseling clients over the phone, through email,...

Join our innovative healthcare team as a Claims Processor, working from the comfort of your home while making a meaningful impact on our members' lives. We're seeking an experienced professional to help advance our member-centric approach to healthcare through expert claims review and adjudication using our state-of-the-art claims system. As a Claims...