Health Claims Expert

Job Title: Claims Adjudication ExpertCompany OverviewHunter's Hub Inc. is a leader in the health insurance industry, known for our commitment to excellence and customer satisfaction. As a Claims Adjudication Expert, you will play a critical role in ensuring that our members receive fair and timely decisions on their claims.Job DescriptionAssess and...

Job Title: Health Claims SpecialistCompany OverviewHunter's Hub Inc. is a leading provider of health insurance solutions, dedicated to delivering exceptional service to our clients. As a Health Claims Specialist, you will play a critical role in ensuring that our members receive the benefits they deserve.Job DescriptionAssess and adjudicate hospitalization...

Job Qualifications: • Graduate of any 4-year medical course related. • Minimum of 5 years in an HMO or health insurance company; and At least 3 years on a Liaison Officer role. • Working experience/knowledge of health general practice (• With Pleasing personality and currently residing in any of the following areas: Metro Manila, Metro Cebu & Davao....

As a Health Claims Liaison Officer, you will be assigned to hospitals across the country, providing support to health clients in Metro Manila, Metro Cebu, and Davao. Your primary role is to manage client relations and ensure seamless healthcare access for hospitalized members.Key Responsibilities:Engage with hospitalized members, ensuring their needs are met...

On-site - Makati 3-5 Yrs Exp Bachelor ContractJob DescriptionDescriptionJob PurposeAs the Health Claims LO you will be assigned to different hospitals across the country and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care...

As the Health Claims LO you will be assigned to different hospitals across the county and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for hospitalized clients.Responsibilities:Assessment / adjudication of "real-time"...

The opportunityThis Sr. Health Claims Analyst is responsible for the overall review, assessment, and decision of claims.Responsibilities:Determine eligible benefits based on documents submitted and policy provisions.Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround...

**Job Summary:**We are seeking a highly skilled Health Claims Liaison Officer to join our team at Hunter's Hub, Inc. As a key member of our organization, you will be responsible for managing client relations and ensuring seamless healthcare access for hospitalized members across various locations.**Key Responsibilities:**Engage with hospitalized members,...

We are looking for a highly motivated and experienced Claims Liaison Officer - Health Services to join our team. As a Claims Liaison Officer, you will play a critical role in ensuring that our clients receive timely and accurate payment for their health benefits.Main Responsibilities:Engage with hospitalized clients to ensure their needs are attended to and...

Job Qualifications:• Must have an experience in processing life insurance claims, adjudicating health or life claims for 2 years and up.• Must be a bachelors degree holder of Finance, Administration or any related• Familiarity with basic regulations governing the insurance industry, including data privacy, anti-bribery and corruption laws.• Strong...

**Job Summary:**We are looking for a skilled Claim Reconciliation Expert to join our team at RelianceUnited. As a key member of our healthcare operations, you will be responsible for processing claims reconciliation requests from accredited Flexicare network providers.**Key Responsibilities:**Process claims records from accredited hospitals and doctors...

Job Overview:The Insurance Triage Coordinator position at Eteam Workforce Private Corporation requires a detail-oriented individual with excellent organizational skills. In this role, you will be responsible for triaging claims documents, conducting pre-adjudications, and ensuring accurate data entry.Main Responsibilities:Triage claims documents upon...

HDSI: Claim Reconciliation Processor (Health Claims)Join to apply for the HDSI: Claim Reconciliation Processor (Health Claims) role at ACTIVEONE HEALTH, INC.Job Objective / PurposeThe Claim Reconciliation Processor is responsible for processing the account reconciliation requests from the accredited Flexicare network. S/He plays an important role in ensuring...

The Eteam Workforce Private Corporation is seeking a skilled Health Insurance Specialist to join our team. In this role, you will be responsible for providing exceptional customer service to our clients and ensuring that their health benefits are accurately processed.Job Summary:Assess and adjudicate hospitalization claims for insured members in...

Job SummaryThe Claim Reconciliation Processor is a critical role in our operations, responsible for processing account reconciliation requests from accredited Flexicare networks. As a key player in our team, you will ensure that all assigned reconciliations are completed accurately and on time. Your expertise will play an essential part in maintaining the...

About the RoleThe ideal candidate will have a bachelor's degree in Finance, Administration, or a related field and at least 2 years of experience in processing life insurance claims, adjudicating health or life claims.Key responsibilities include:Drafting settlement, decision, and temporary closure letters.CHUB encoding.Monitoring first and second pending...

Job Description Summary:The Sr. Health Claims Analyst will play a key role in reviewing and assessing claims, ensuring accurate benefit payouts, and maintaining compliance with policy details, laws, and regulations.Key Job Responsibilities:Analyze and determine eligible benefits based on submitted documents and policy provisions.Make adjudication decisions...

About the Role:We are seeking a highly skilled and experienced Sr. Health Claims Analyst to join our team. The successful candidate will be responsible for reviewing and assessing claims, ensuring accurate benefit payouts, and maintaining compliance with policy details, laws, and regulations.Key Responsibilities:Conduct thorough analysis of claims and...

Job Objective / Purpose The Claim Reconciliation Processor is responsible for processing the account reconciliation requests from the accredited Flexicare network. S/He plays an important role in ensuring that all reconciliations assigned are completed accurately and on time. This role will be hired under Flexicare, Health Delivery System, Inc. (HDSI) - a...

Job Title: Medical Claims Liaison OfficerCompany OverviewHunter's Hub Inc. is a trusted name in the health insurance industry, committed to delivering high-quality service to our members. As a Medical Claims Liaison Officer, you will be responsible for facilitating effective communication between healthcare providers, patients, and our team.Job...