Claims Process Analyst
3 days ago
We are seeking a highly skilled Claims Process Analyst to join our team at Principal Global Services.
The successful candidate will be responsible for acquiring, analyzing, and investigating medical, financial, and contractual information to make effective and timely claim decisions. They will also connect with employers, employees, and medical providers via phone, email, and letters to provide updates on medical conditions, restrictions & limitations, job duties, group short term disability policy provisions, claim decisions, status, and all other aspects of the claim process.
This is an exciting opportunity for someone who enjoys working in a fast-paced environment and has excellent analytical, multitasking, prioritization, and interpersonal skills. The ideal candidate will have a strong understanding of short term disability claim processing and experience working with policies and regulations.
In this role, you will supervise and follow up on outstanding items to ensure compliance with regulations, service timing, and quality guidelines. You will work independently as well as in a team environment to achieve your goals.
To be considered for this position, you must have a PHRN certification and a Bachelor's/Associate's degree. Previous experience in customer-facing roles, particularly in short term disability claim processing, is highly preferred. Legal and policy experience, including the ability to read, interpret policies, and apply them to claims situations, is also desirable.
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Insurance Claim Analyst
2 days ago
Taguig, National Capital Region, Philippines Lennor Group Full timeResponsibilities and ExpectationsIn this role as a Medical Claims Analyst, you will be responsible for:Managing the entire claims process from start to finish.Verifying claims data for accuracy and completeness.Contacting payers and clients to resolve any issues or discrepancies.Identifying and addressing billing errors and inconsistencies.Collaborating with...
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Claim Resolution Expert
2 days ago
Taguig, National Capital Region, Philippines Lennor Group Full timeJob OverviewWe are seeking a highly motivated and detail-oriented Medical Claims Analyst to join our team. As a Medical Claims Analyst, you will be responsible for managing the entire claims process, including:Reviewing and verifying claims data for accuracy and completeness.Identifying and addressing billing errors and inconsistencies.Collaborating with...
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Accidental Claims Analyst
5 days ago
Taguig, National Capital Region, Philippines Tasq Staffing Solutions Full timeAbout UsTasq Staffing Solutions is a leading provider of staffing solutions for businesses. Our mission is to connect talented individuals with exciting career opportunities.Job DescriptionWe are seeking a highly skilled Accidental Claims Analyst to join our team. As a key member of our claims processing team, you will be responsible for reviewing and...
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Medical Claims Analyst
2 days ago
Taguig, National Capital Region, Philippines Lennor Group Full timeOn-site - Taguig 1-3 Yrs Exp Diploma Full-timeJob DescriptionDescriptionAbout Lennor GroupAs a proud Filipino company, we are committed to providing world-class business and workforce solutions. Our deep market expertise, combined with a global perspective, empowers us to serve businesses of all sizes and industries efficiently.Our brand, Lennor Metier, is a...
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Medical Claims Specialist
2 days ago
Taguig, National Capital Region, Philippines Lennor Group Full timeJob DescriptionWe are seeking a highly skilled Medical Claims Analyst to join our team. As a Medical Claims Analyst, you will be responsible for managing claim processing, billing, collections, and account reconciliation. This role involves ensuring timely resolution of outstanding claims, identifying billing discrepancies, and maintaining compliance with...
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Associate - Accidental Claims Analyst
3 days ago
Taguig, National Capital Region, Philippines Principal Global Services Full timeResponsibilitiesAs a Short Term Disability Claims Analyst, your day will be anything but routine. In this fast-paced environment, every single day offers new challenges and the ability to use your excellent analytical, multitasking, prioritization, and interpersonal skills to assist with our clients' short-term disability claims – all during a time in...
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Healthcare Claims Processor
2 days ago
Taguig, National Capital Region, Philippines Lennor Group Full timeAbout the RoleThis is an exciting opportunity to work as a Medical Claims Analyst for a reputable company. In this role, you will be responsible for managing the entire claims process from start to finish. This includes:Reviewing and verifying claims data for accuracy and completeness.Contacting payers and clients to resolve any issues or...
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Accidental Claims Processing Expert
7 days ago
Taguig, National Capital Region, Philippines Tasq Staffing Solutions Full timeAbout the RoleThis position is perfect for individuals who enjoy working in a fast-paced environment and providing excellent customer service. As a Customer Service Representative, you will be responsible for processing claims and making decisions that impact our customers' lives.Main Responsibilities:- Review and process Short Term Disability claims...
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Claims Analyst
2 weeks ago
Taguig, National Capital Region, Philippines Sun Life Full timeYou are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...
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Short Term Disability Claim Analyst
7 days ago
Taguig, National Capital Region, Philippines Tasq Staffing Solutions Full timeJob DescriptionTasq Staffing Solutions is looking for an experienced Accidental Claims Processing Expert to join our team. In this role, you will be responsible for processing Short Term Disability claims with high accuracy and attention to detail.Key Tasks:- Review and process Short Term Disability claims according to policy provisions and industry...
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Healthcare Claims Analyst
3 days ago
Taguig, National Capital Region, Philippines Principal Global Services Full time**Qualifications & Skills**Pursuing PHRN or Bachelor's/Associate's degree in a relevant field.Minimum 1+ years of customer-facing work experience.Short term disability claim processing experience preferred.Excellent analytical, interpersonal, problem-solving, decision-making, and multi-tasking skills.Computer skills and typing proficiency – Microsoft...
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Accidental Claims Examiner
7 days ago
Taguig, National Capital Region, Philippines Tasq Staffing Solutions Full timeJob DescriptionThe Accidental Claims Analyst will be responsible for reviewing and gathering information, making phone calls, and making decisions on short-term disability claims. They will also interpret policies and regulations to accurately apply them to claims situations.
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PHRN - Accidental Claims Analyst (BGC)
1 week ago
Taguig, National Capital Region, Philippines Tasq Staffing Solutions Full timeQualifications:- PHRN- Bachelor's degree, with 1+ years of customer facing work experience preferred.- Short Term Disability Claim Processing Experience – reviewing and gathering information, making phone calls, and making the actual claim decision - at least 1 year or more of successful performance of processing Short Term Disability claims preferred.-...
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Claims Ambassador
2 weeks ago
Taguig, National Capital Region, Philippines FWD Group Management Holdings Limited Full timeFWD Group is a pan-Asian life and health insurance business with more than 12 million customers across 10 markets, including some of the fastest-growing insurance markets in the world. The company was established in 2013 and is focused on changing the way people feel about insurance. FWD's customer-led and digitally enabled approach aims to deliver...
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Insurance Claims Manager
5 days ago
Taguig, National Capital Region, Philippines AIA Hong Kong and Macau Full timeAbout the RoleAs a key member of our team, you will be responsible for determining the validity and authorising settlement of insurance claims. This involves assessing and settling insurance claims arising from policies in force, making recommendations and guidelines to insurance claims, and liaising with solicitors and other third parties during...
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PHRN - Accidental Claims Analyst (Taguig)
1 week ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeShift Schedule: Night Shift ScheduleWork Setup: OnsiteTarget Start Date: May 12, 2025Requirements:PHRNBachelor's degree, with 1+ years of customer-facing work experience preferred.Short Term Disability Claim Processing Experience reviewing and gathering information, making phone calls, and making the actual claim decision - at least 1 year or more of...
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Short Term Disability Analyst
7 days ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeWe're seeking an experienced Short Term Disability Analyst to join our team at TASQ Staffing Solutions.In this role, you'll be responsible for analyzing and processing short-term disability claims, ensuring that all necessary information is gathered and that claims are resolved efficiently.Duties and Responsibilities:Analyze and process short-term disability...
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Claims Manager
7 days ago
Taguig, National Capital Region, Philippines AIA Hong Kong and Macau Full timeWe don't simply believe in being 'The Best'. We believe in better - because there's no limit to how far 'better' can take us.We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own...
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Claims Validation Specialist
5 days ago
Taguig, National Capital Region, Philippines AIA Hong Kong and Macau Full timeAbout the JobWe are seeking a highly skilled Claims Director to join our team at AIA Hong Kong and Macau. As a Claims Director, you will be responsible for leading the claims team in determining the validity and authorising settlement of insurance claims.The ideal candidate will have extensive experience in claims assessment, settlement, and management, as...
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Accidental Claims Processor
7 days ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeAs a valued member of TASQ Staffing Solutions, you will play a crucial role in our team as an Accidental Claims Processor.The ideal candidate will possess a strong understanding of PHRN regulations and experience in customer-facing roles, with a proven track record of successful short-term disability claim processing.We are seeking an individual who can...