Current jobs related to Claims Professional - Makati City, National Capital Region - JOB MATCHMAKER


  • Makati City, National Capital Region, Philippines beBee Careers Full time

    Job SummaryWe are seeking a skilled Claims Specialist to join our team. The successful candidate will be responsible for processing claims, maintaining accurate records, and communicating with claimants. This is an exciting opportunity for individuals looking to develop their career in the insurance industry.ResponsibilitiesReviews and evaluates claims,...


  • Makati City, National Capital Region, Philippines UnitedHealth Group Full time

    Role SummaryWe're looking for a Professional Claims Investigator to join our team. As a Healthcare Claims Resolution Specialist, you'll be responsible for reviewing, researching, investigating, negotiating, and resolving claims for health plans, commercial customers, and government entities.Responsibilities:Provide claims support, including research,...


  • Makati City, National Capital Region, Philippines ActiveOne Health Full time

    **Job Summary**We are seeking a Professional Claim Examiner to join our team. In this role, you will be responsible for the examination and investigation of health insurance claims. You will analyze medical information, communicate with healthcare providers and members, and make informed decisions regarding claim coverage and payment.Key...


  • Makati City, National Capital Region, Philippines TASQ Staffing Solutions Full time

    We are looking for an Insurance Claims Processing Professional to process Short Term Disability claims efficiently and effectively. The ideal candidate will possess strong analytical and communication skills, as well as the ability to make sound decisions.Responsibilities include:Reviewing claim information, making phone calls, and making claim...

  • Claims Officer

    3 weeks ago


    Makati City, National Capital Region, Philippines Allianz Popular SL. Full time

    BENEFITSPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceHybrid Work Set-up after 6 months of employmentBe part of a pioneer teamJOB DETAILS / ROLE PURPOSEThe role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service while processing claims...


  • Makati City, National Capital Region, Philippines UnitedHealth Group Full time

    Required QualificationsTo be considered for this role, candidates must have an education level of at least a high school diploma or GED, or 10+ years of equivalent working experience. A minimum of 4 years of experience in claims recovery and resolution is also required.High school diploma or GED.4+ years of experience in claims recovery and resolution.

  • Health Claims

    1 day ago


    Makati City, National Capital Region, Philippines AXA Philippines Full time

    Health Claims - Reimbursement SupervisorEssentially responsible for carrying out set strategies of Health Claims team relevant to efficient end-to-end claims processing and providing delightful customer service.Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and action plans of the department according...


  • Makati City, National Capital Region, Philippines Hunter's Hub Inc. Full time

    We are seeking a highly skilled Claims and Adjudication Expert to join our team at Hunter's Hub Inc. As a Claims and Adjudication Expert, you will be responsible for assisting claims officers in drafting settlement, decision, and temporary closure letters.The ideal candidate will have experience in processing life insurance claims, adjudicating health or...


  • Makati City, National Capital Region, Philippines Trinity Workforce Solutions Full time

    Job Overview:The Claims Adjudicator is a critical role within our organization, requiring strong analytical and problem-solving skills to evaluate and resolve complex insurance claims.In this role, you will work closely with our claims team to analyze claim documents, verify information, and apply policy guidelines to determine claim validity and...


  • Makati City, National Capital Region, Philippines AIA Hong Kong and Macau Full time

    Job DescriptionThe primary responsibility of this role is to oversee the reimbursement process, ensuring that medical claims are accurately and efficiently processed. This involves monitoring the performance of the reimbursement section, evaluating medical cases, and checking claims for accuracy. Additionally, the incumbent will be responsible for...

  • Claims Processor

    1 week ago


    Makati City, National Capital Region, Philippines Allianz Popular SL. Full time

    Job DescriptionThe Claims Officer will be responsible for processing medical claims for clients in their assigned region. This involves examining and processing claims within agreed company SLAs to guarantee customer satisfaction and retention.Key responsibilities include:Examining and processing claims accurately and efficientlyUsing Allianz Partners'...


  • Quezon City, National Capital Region, Philippines Intogreat Solutions Full time

    About UsWe are a global company with a presence in multiple regions, providing offshore professional staffing solutions for small and medium-sized businesses across various industries.Job SummaryA Motor Vehicle Assessor is responsible for the assessing phase of the claim's management process. This involves managing insurance claims, undertaking assessments,...


  • Makati City, National Capital Region, Philippines Pioneer Your Insurance Full time

    The Claims Resolution Expert will be responsible for evaluating completeness and accuracy of documentary evidence, reviewing claim files, and identifying potential subrogation opportunities.This role requires strong analytical and negotiation skills, as well as the ability to work collaboratively with claims adjusters, attorneys, and other relevant parties...


  • Makati City, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full time

    About the PositionWe are looking for a skilled and experienced Claims Specialist to join our team in Makati.The successful candidate will be responsible for handling claims from receipt to settlement, ensuring all necessary information is gathered and processed in accordance with company policies and procedures.This includes coordinating with external...


  • Makati City, National Capital Region, Philippines AIA Hong Kong and Macau Full time

    ResponsibilitiesThis role involves the following key responsibilities:Monitors and checks the performance of the reimbursements for accurate and efficient processing of check payments to members/claimants and express payment bills.Evaluates medical cases properly and ensures that claims are accurate and complete.Coordinates with doctors' offices and...


  • Makati City, National Capital Region, Philippines Trinity Workforce Solutions Full time

    Job Description:We are seeking a highly skilled Claims Adjudicator to join our team at Trinity Workforce Solutions. In this role, you will be responsible for reviewing and evaluating insurance claims to determine their validity and the extent of coverage based on policy terms.This involves analyzing medical records, verifying information, applying policy...


  • Makati City, National Capital Region, Philippines InLife Health Care Full time

    About UsInLife Health Care is a leading healthcare provider dedicated to delivering high-quality services to our clients. We are committed to excellence and innovation in all aspects of our business.Our TeamWe have a diverse team of experienced professionals who share a passion for delivering exceptional healthcare services. Our team members are committed to...


  • Makati City, National Capital Region, Philippines Local Employment Direct Hire for Professional Full time

    About the RoleWe are seeking a dedicated and detail-oriented Registered Nurse to join our team as a Nurse Liaison. In this role, you will be responsible for liaising with clients and healthcare providers to administer health plans, insurance coverage, and dental programs.Key ResponsibilitiesLiaise with clients and healthcare providers for day-to-day...


  • Makati City, National Capital Region, Philippines beBee Careers Full time

    About the RoleThis is an exciting opportunity for a skilled professional to join our team as an Insurance Operations Associate. The successful candidate will be responsible for coordinating with team members and stakeholders to ensure timely claims resolution.The ideal candidate will have strong analytical and judgement skills, as well as effective...


  • Quezon City, National Capital Region, Philippines P and I Claims Management Inc. Full time

    **About the Role**We are looking for a skilled Claims Handler Manager to lead our team of adjusters.The ideal candidate will have experience in claims management, strong analytical skills, and excellent communication abilities.**Responsibilities Include**Managing a team of adjusters to analyze and evaluate claimsPreparing reports and correspondence for...

Claims Professional

3 weeks ago


Makati City, National Capital Region, Philippines JOB MATCHMAKER Full time
About Us

JOB MATCHMAKER is a leading provider of innovative solutions in the field of medical claims processing.

Job Description

We are seeking a highly skilled Claims Processor to join our team. In this role, you will be responsible for evaluating claims by checking the completeness of documents, necessity and reasonableness of expenses.

Responsibilities
  • Evaluating claims for accuracy and completeness
  • Encoding and simplification of diagnosis-data entry
  • Routine reconciliation of Outstanding Accounts with Providers
  • Filing and labeling of medical claims documents

The ideal candidate will possess excellent analytical and problem-solving skills, as well as strong attention to detail and organizational abilities.