Claims Review Specialist

2 days ago


Paranaque City, Calabarzon, Philippines beBeeClaims Full time $7,200 - $7,800
Claims Analyst Role

A Claims Analyst is responsible for reviewing and evaluating customer claims submitted through various channels, ensuring their accuracy, eligibility, and compliance with company policies. The role involves investigating claims to determine validity and eligibility based on company procedures, gathering and analyzing supporting documentation to support claim decisions, determining appropriate settlement amounts for valid claims, maintaining accurate records of all claim activities in the database, communicating effectively with customers regarding the status of their claims, collaborating with team leads to resolve complex claims, identifying potential fraud or abuse, and staying updated on relevant industry regulations.



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