Claims Resolution Manager

Job DescriptionWe are seeking a highly skilled Claims Resolution Specialist to join our team at Shopee. As a Claims Resolution Specialist, you will be responsible for investigating and processing claims related to lost, damaged, or delayed goods in transit.Gather evidence to support claims, including pre-shipment videos and photos, and work closely with our...

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...

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...

Job DescriptionThis position is responsible for identifying, capturing, tracking, reviewing, and resolving held claim edits, claim rejections, and/or denials that result from the claims/billing cycle.Main Responsibilities:Identify and track revenue cycle held claim edits, rejections, and/or denials including verifying legal health record documentation to...

Policy Resolution Expert:We are seeking a Policy Resolution Expert to join our team. As a Policy Resolution Expert, you will be responsible for managing and resolving insurance claims, ensuring that our customers receive the best possible service.You will be responsible for reviewing and processing insurance claims, identifying potential issues, and making...

**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...

About the Role:The Insurance Claims Coordinator plays a vital part in our team, responsible for overseeing and managing insurance claims from initiation to resolution. This role demands attention to detail, effective communication skills, and a deep understanding of insurance claims processes.We are seeking a Claims Processor with a Bachelor's degree in a...

About the JobWe are seeking an experienced and skilled Insurance Claims Supervisor to join our team at Bonifacio Insurance Broker Corporation. As a key member of our claims department, you will be responsible for ensuring the smooth operation of the claims process.Key Responsibilities:Supervise a team of claims specialists to ensure high standards of...

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,...

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...

Trinity Insurance and Reinsurance Brokers, IncWe are seeking a skilled Claims Lead for our Employee Benefits division to oversee the end-to-end processing of claims. As a key member of our team, you will be responsible for guiding and directing claims staff to achieve team objectives.The Role:This role requires strong coordination and communication skills to...

Key ResponsibilitiesClaim Management: Manage insurance claims from start to finish, ensuring timely and accurate resolutions.Assessment and Reporting: Conduct thorough assessments and prepare comprehensive reports for clients.Customer Interaction: Build strong relationships with customers, clients, and internal stakeholders through effective communication...

About the RoleWe are seeking an experienced and skilled Insurance Claims Supervisor to join our team at Bonifacio Insurance Broker Corporation. As a key member of our claims department, you will be responsible for overseeing the daily operations of the claims processing team.Key Responsibilities:Coordinate with insurers and clients to ensure timely...

Job DescriptionInvestigate and process claims related to lost, damaged, or delayed goods in transit.Gather evidence, such as pre-shipment videos and photos, to support claims.Work closely with WHOps and CCTV team to ensure that the set guidelines are being followed.Collaborate with the Logistics, Payments and Finance team to ensure all RTS Parcels for claims...

Job Description:We are looking for a skilled Healthcare Claims Collections Representative to join our team at Optum. As a key member of our operations team, you will be responsible for ensuring timely and accurate processing of healthcare claims.You will work closely with healthcare providers to resolve payment disputes and collect outstanding balances.You...

Duties and Responsibilities:Claims ProductionReviews claims daily based on medical necessity, coverage guidelines, coding & payment standard and applicable regulatory and compliance requirements.Reviews claims above $25,000 in estimated payments.Reviews services for appropriateness of charges and ensures payments are consistent with authorization information...

Job OverviewWe are seeking a highly skilled Logistics Claims Processor to join our team at Shopee. As a Logistics Claims Processor, you will be responsible for investigating and processing claims related to lost, damaged, or delayed goods in transit.Gather evidence to support claims, including pre-shipment videos and photos, and work closely with our WHOps...

COMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...

Key ResponsibilitiesThis role requires a strong working knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, CPT codes, modifiers, charging, and payment methodologies.Critical Thinking and Analysis:Apply critical thinking and research skills to resolve complex claim issues and ensure accurate and compliant claims processing.Maintain proficiency in injection and...

About the RoleThis position plays a crucial role in ensuring the accuracy and compliance of claims processing, which is essential for maintaining positive relationships with payers and upholding the reputation of the organization.Collaboration and Communication:Work effectively with cross-functional teams, including coding, billing, and customer service...