Claims Resolution Specialist

Job OverviewMED-METRIX INTERNATIONAL PH-I, INC. is seeking a skilled Claims Resolution Specialist to join our team.The successful candidate will be responsible for collecting payments, resolving account discrepancies, and ensuring timely billing and allowance posting.Key ResponsibilitiesFollow up with payers via phone, email, or fax to resolve outstanding...

Key ResponsibilitiesClaims Management: The Insurance Claims Supervisor will be responsible for coordinating with insurers and clients to ensure timely resolution of insurance claims. This includes ensuring that claims decisions are fair and adhere to insurance policy contract coverage, terms, and conditions.Team Supervision: The supervisor will lead and...

Job RequirementsIn this Insurance Claim Resolution Expert role, you'll be responsible for managing healthcare claims, resolving payment disputes, and verifying claim status with insurance providers. You'll need to have a solid background in medical billing and collections, as well as experience working on the provider side.Familiarity with EPIC SYSTEM and...

Position OverviewSCHENKER Manila Administrative Competence Center Inc. is seeking a highly skilled Claims Resolution Expert - Transportation to join our team.Key Responsibilities:Address front-line claims issues with customers and suppliers, ensuring timely resolution and maintaining customer satisfaction.Gather, verify, and provide information and documents...

RequirementsA degree in Business or Engineering is preferred.Fresh graduates are welcome to apply; however, prior experience in non-life claims/client servicing is an advantage.A client-centered approach with attention to detail on claims specifications is essential.Excellent communication skills (oral and written) are required.Ability to conduct site...

Job RequirementsThe Claims Functional Lead will be responsible for managing the overall Returns/Claims process, ensuring adherence to SOPs and KPIs, and collaborating with the returns team to optimize past due item management and minimize claims.Manage the entire Returns/Claims lifecycle from receipt to resolution.Develop and implement strategies to improve...

Trinity Insurance and Reinsurance Brokers, IncWe are looking for a highly skilled Claims Process Specialist to join our team in the Employee Benefits division. In this role, you will be responsible for overseeing the end-to-end processing of claims, providing guidance and direction to team members to achieve team objectives.Key Responsibilities:Claims...

About the RoleWe are looking for a detail-oriented Provider Payment Resolution Specialist to join our team at TakeCare Asia Philippines, Inc. The successful candidate will be responsible for resolving provider payments and ensuring that our members receive the support they need.Key Responsibilities:Coordinates and works with the respective claim...

Job SummaryWe are seeking a skilled Insurance Claims Specialist to join our team at ICA Insurance and Surety Services. This role is responsible for supporting both the claims and underwriting functions.Key Responsibilities:Claims Coordination:1. Manage the intake, processing, and documentation of insurance claims.2. Communicate with policyholders, claimants,...

About the RolePioneer Your Insurance is seeking a Claims Analyst to join our team. As a Claims Analyst, you will play a key role in verifying coverage and making recommendations on claims.Key ResponsibilitiesCoverage Verification: Verify coverage in-force at the time of loss.Claim Recommendations: Make recommendations on claim action or require further...

Job DescriptionWe are seeking a highly skilled Claims Specialist to join our team at TakeCare Asia Philippines, Inc. As a Claims Specialist, you will play a crucial role in ensuring the accuracy and efficiency of our claims process.Key Responsibilities:Investigate all possible Medicare and other insurance COB information utilizing the Medicare verification...

Job Description:Duties & Responsibilities:Conduct thorough investigations of questionable claims to ensure accurate and fair adjudication.Utilize expertise to resolve claims by approving or denying, calculating benefits due, initiating payment, and preparing notice to members after case adjudication.Maintain detailed documentation of medical claims by...

Job SummaryAs a Junior Claims Specialist, you will be responsible for attending to, assessing, and resolving claims related to motor and non-motor insurance lines.You will work closely with the account management team and insurance partners to ensure that clients' needs are met promptly and efficiently.

**Overview:**As a seasoned Risk Management Expert, we are looking for an individual who can effectively manage claims and drive business growth.This role involves managing non-life insurance claims, working closely with external partners, and maintaining high levels of customer satisfaction.Responsibilities:Claims Management: Manage non-life insurance claims...

Manage new claims, verifying policy coverage and ensuring timely resolution.Maintain accurate records of all claims activities.Communicate effectively with clients, adjusters, and insurance carriers.Assist clients with claim inquiries and provide excellent customer service.Prepare detailed claim reports.Underwriting SupportPrepare and process new and renewal...

Key Performance Indicators (KPIs):In order to measure success in this role, the following KPIs will be used:Claim resolution rateClient satisfaction ratingQuality of claims documentation and record-keepingTimeliness of claims resolutionWhat You Will Achieve:In this role, you will have the opportunity to develop your skills and expertise in claims management,...

About the JobWe are seeking an experienced Insurance Claim Analyst to join our team at Shopee. In this role, you will investigate and process claims related to lost, damaged, or delayed goods in transit.Analyze data to identify trends in claims and provide recommendations for improvement.Develop and implement processes to streamline claim resolution and...

The Claims Insurance Coordinator will be responsible for overseeing and managing insurance claims from initiation through resolution. This role requires attention to detail, effective communication skills, and a deep understanding of insurance claims processes.Graduate of Bachelor's degree in a related field2+ years of experience in claims coordination,...

Job Summary:The Insurance Claims Supervisor is responsible for overseeing the claims processing team to ensure efficient and accurate handling of insurance claims. This role involves supervising daily operations, maintaining compliance with regulatory and policy standards, and delivering excellent service to clients. The ideal candidate will have strong...

Discover your 100% YOU with MicroSourcingPosition: Medical Claims and Billing SpecialistLocation: Global One, Eastwood, Quezon CityWork Set-up & Shift: Night Shift & Onsite in EastwoodYour Role:As a Medical Claims and Billing Specialist you will:Process and submit insurance claims in accordance with insurer requirements and federal regulations.Handle billing...