Claims Process Improvement Specialist

About the Role:We are seeking a skilled Claims Specialist to join our team at TakeCare Asia Philippines, Inc. As a key member of our Claims Team, you will be responsible for ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Review medical claims daily to determine coverage, coding, and payment standards in...

ResponsibilitiesThe Medical Billing Specialist will be responsible for handling unpaid healthcare claims. Key responsibilities include:Interacting with customers to gather support data.Ensuring invoice accuracy and resolving claims discrepancies.Providing input to policies, systems, methods, and procedures for effective management and control of premium...

**About the Role:**We are seeking a highly skilled Claims Specialist to join our team. As a key member of our collection department, you will be responsible for collecting unpaid healthcare claims and ensuring that our clients receive accurate and timely payments.Key Responsibilities:Review and verify claim information to ensure accuracy and...

Hiring Process Improvement SpecialistWe are seeking an experienced Hiring Process Improvement Specialist to join our team. The successful candidate will have a strong background in recruitment and be able to develop and implement effective strategies to improve our hiring process.Key Responsibilities:Conduct analysis of current hiring processes and identify...

About the RoleWe are seeking a skilled and experienced Claims Supervisor to join our team at ETIQA LIFE AND GENERAL ASSURANCE PHILIPPINES, INC. The successful candidate will be responsible for overseeing the entire claims process from submission to resolution.This is an excellent opportunity for individuals who are passionate about insurance and have a...

The Claims Specialist's major role in the company is to ensure that all the marketing activities and promotions with the approved budget will be claimed 100% from the principal and that all proper documentation will be reflected in the ERP system. He/she is also responsible for keeping track that the submitted claims will be settled within an acceptable time...

**Job Purpose:**The role of the Insurance Claims Specialist at TrabaGo PH, Incorporated involves receiving and reviewing insurance claim submissions, verifying the accuracy of submitted claims, processing insurance claim payouts, creating claim documentation, and communicating with business representatives, insurance agents, and clients. The specialist will...

As a Claim Processing Associate at TrabaGo PH, Incorporated, you will be responsible for supporting the claims team in ensuring the efficient and accurate processing of insurance claims. Your key responsibilities will include filling out claims' forms, interviewing clients to gather information, and maintaining a database of claim records. You will also be...

Job OverviewInLife Health Care is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a vital role in ensuring that all claims are processed accurately and efficiently.Responsibilities:• Analyze and adjudicate claims according to set medical guidelines and policies• Audit and process claims...

SeaMoney is a part of Sea Group, a leading global consumer internet company. SeaMoney's mission is to better the lives of individuals and businesses in our region with financial services through technology. SeaMoney's offerings include mobile wallet services, payment processing, credit offerings, and related digital financial services and products. These are...

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,...

Role SummaryWe are seeking a highly skilled Claims Functional Lead to manage the overall Return to Shipper / Seller and Claims process.This role requires strong leadership skills, excellent communication abilities, and a keen eye for detail.The successful candidate will collaborate with various teams, including Claims, SOC Ops, Middle Mile, and Fleet...

Job RequirementsTo be successful in this role, you will need to have a strong understanding of life insurance policies and claims processes. You should be able to communicate effectively with clients and internal stakeholders, and have excellent interpersonal skills. You will also need to be able to work in a fast-paced environment and meet deadlines, and...

About UsTrinity Insurance and Reinsurance Brokers, Inc. has been serving its clients for over three decades, redefining what it means to be in the business of insurance. We offer customized products and services that cater to the needs of our clients and customers.The PositionWe are looking for a skilled Claims Specialist who will be responsible for handling...

Job OverviewWe are looking for a highly motivated Claims Processing Professional to join our team. In this role, you will be responsible for reviewing and assessing insurance claims to ensure alignment with policy criteria. Your strong analytical skills and attention to detail will enable you to make informed decisions regarding claim validity.You will work...

Process Improvement ExpertWe are seeking a seasoned Claims Functional Lead to drive process improvements in our Return to Shipper (RTS) / Claims process at Shopee. The successful candidate will have extensive experience in process analysis and implementation, with a strong focus on efficiency and effectiveness.The ideal candidate will possess excellent...

Role OverviewThe Billing Specialist will be responsible for managing the entire billing process, from initial claim submission to final payment receipt. This includes verifying patient insurance coverage, obtaining necessary authorizations, and resolving any billing discrepancies that may arise.Key ResponsibilitiesBilling Process ManagementPrepare and submit...

Job Description:As a key member of the Harris Computer team, the Medical Claims Specialist will play a vital role in ensuring accurate and timely billing for Workers' Compensation and Personal Injury claims. The ideal candidate will possess strong attention to detail, excellent data entry skills, and proficiency in medical coding and claims management...

Job DescriptionThe Claims Functional Lead will play a critical role in ensuring seamless returns processing for our customers. This involves developing and implementing strategies to improve efficiency, reducing claim rates and enhancing customer satisfaction.Collaborate with returns team to resolve issues and optimize processesAnalyze data to identify...

About the RoleThe Claims Specialist position is a critical function in our organization, requiring attention to detail and strong organizational skills. Key responsibilities include initiating claim processing, creating debit notes and accruals in our ERP system, and consolidating approved debit notes for submission to principals.