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Claims Specialist

1 week ago

Manila, National Capital Region, Philippines Asalus Corporation (IntelliCare) Full time

Asalus Corporation (IntelliCare) seeks a skilled Claims Specialist to join its team. The ideal candidate will be responsible for the following key duties:

Duties and Responsibilities
  • Claim Adjudication: Initiate or conduct thorough investigations of questionable claims to ensure accurate and fair outcomes.
  • Benefit Calculation: Determine benefits due to claimants by analyzing case details and applying relevant policies.
  • Documentation and Reporting: Prepare detailed worksheets, data entry, and maintain reports, logs, and records to ensure transparency and compliance.
  • Customer Service: Provide excellent customer service by responding to inquiries and resolving issues in a timely and professional manner.
  • Quality Control: Perform second-layer checking of claims proposed by junior assessors to maintain high standards of quality and accuracy.