Communications Claims Officer Specialist

4 days ago


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

Trinity Workforce Solutions Overview

At Trinity Workforce Solutions, we pride ourselves on delivering exceptional service and support to our clients. Our team is dedicated to helping organizations achieve their goals, and we're always looking for talented individuals to join us.

Job Description

The role involves managing claims administration by preparing and sending advisories, updating trackers, monitoring outstanding balances, and performing administrative tasks to ensure efficient claims processing and communication.

Key Performance Indicators:

  • Successful claim resolution rates.
  • Client satisfaction ratings.
  • Timely completion of administrative tasks.

Required Skills and Qualifications:

  • Bachelor's degree in a relevant field.
  • Minimum 2 years of experience in claims administration or a related field.
  • Excellent analytical, problem-solving, and communication skills.
  • Ability to work in a fast-paced environment and prioritize multiple tasks.

Benefits

  • A comprehensive benefits package.
  • Ongoing training and development opportunities.
  • A dynamic and supportive work environment.


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

    The role involves managing claims administration by preparing and sending advisories, updating trackers, monitoring outstanding balances, and performing administrative tasks to ensure efficient claims processing and communication.


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

    Job Title: Health Claims SpecialistCompany OverviewHunter's Hub Inc. is a leading provider of health insurance solutions, dedicated to delivering exceptional service to our clients. As a Health Claims Specialist, you will play a critical role in ensuring that our members receive the benefits they deserve.Job DescriptionAssess and adjudicate hospitalization...


  • Makati City, National Capital Region, Philippines Dempsy Resource Management Inc. Full time

    About the Position:We are looking for a skilled Claims Validation Specialist to join our team at Dempsy Resource Management Inc. As a Healthcare Data Encoder, you will be responsible for evaluating and processing medical claims.Key Responsibilities:Evaluate claims received by reviewing the completeness of documents and the necessity and reasonableness of...


  • Makati City, National Capital Region, Philippines Eteam Workforce Private Corporation Full time

    Job Summary:We are seeking a highly skilled Senior Claims Specialist to join our team at Eteam Workforce Private Corporation. In this role, you will be responsible for managing claims documents, conducting pre-adjudications, and recording data in our claims masterfile tracker.Key Responsibilities:Receive and process claims documents from various...


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

    Job Qualifications: • Graduate of any 4-year medical course related. • Minimum of 5 years in an HMO or health insurance company; and At least 3 years on a Liaison Officer role. • Working experience/knowledge of health general practice (• With Pleasing personality and currently residing in any of the following areas: Metro Manila, Metro Cebu & Davao....


  • Mandaluyong City, National Capital Region, Philippines RelianceUnited Full time

    **Job Requirements:**We are looking for a detail-oriented Claims Processing Specialist to join our team at RelianceUnited. As a key member of our healthcare operations, you will be responsible for processing claims reconciliation requests from accredited Flexicare network providers.**Key Responsibilities:**Process claims records from accredited hospitals and...


  • Makati City, National Capital Region, Philippines Dempsy Resource Management Inc. Full time

    Job Summary:At Dempsy Resource Management Inc., we are seeking a highly skilled Medical Claims Analyst to join our team. As a Claims Validation Specialist, you will play a crucial role in ensuring the accuracy and completeness of medical claims.About the Role:Evaluate claims received by assessing the completeness of documents, the necessity and...


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

    On-site - Makati 3-5 Yrs Exp Bachelor ContractJob DescriptionDescriptionJob PurposeAs the Health Claims LO you will be assigned to different hospitals across the country and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care...


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

    As the Health Claims LO you will be assigned to different hospitals across the county and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for hospitalized clients.Responsibilities:Assessment / adjudication of "real-time"...


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

    About the RoleWe are seeking a highly skilled Vehicle Claims Specialist to join our team. As a specialist in this field, you will be responsible for assessing and managing vehicle claims from initial reporting to final resolution.Key Responsibilities:Conduct thorough assessments of damaged vehicles to determine extent of damage and cost of repairs.Develop...


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

    Job Title: Medical Claims Liaison OfficerCompany OverviewHunter's Hub Inc. is a trusted name in the health insurance industry, committed to delivering high-quality service to our members. As a Medical Claims Liaison Officer, you will be responsible for facilitating effective communication between healthcare providers, patients, and our team.Job...


  • Makati City, National Capital Region, Philippines ISTA Solutions Full time

    Job Overview:ISTA Solutions, a leading outsourcing company, seeks an experienced Healthcare Claims Specialist to join our rapidly expanding team. As a key member of our team, you will have the opportunity to work with highly skilled professionals who prioritize employee satisfaction and work-life balance. Our company prides itself on creating a culture...


  • Quezon City, National Capital Region, Philippines NTT Data Full time

    NTT Data is seeking an experienced Claims and Authorizations Specialist to join our team.About the PositionIn this role, you will be responsible for managing claims and authorizations, resolving discrepancies, and collaborating with the Claims Team.Main ResponsibilitiesProcess authorizations and exception requests for healthcare providers.Work closely with...


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

    Hunter's Hub Inc. is seeking a skilled and compassionate Health Claims Officer - Patient Advocate to join our team in providing exceptional support services to our health clients across Metro Manila, Metro Cebu & Davao areas.About the Role:This role centers on customer/client management to achieve integrated care outcomes for hospitalized clients.You will be...


  • Makati City, National Capital Region, Philippines Eteam Workforce Private Corporation Full time

    We are looking for a highly motivated and experienced Claims Liaison Officer - Health Services to join our team. As a Claims Liaison Officer, you will play a critical role in ensuring that our clients receive timely and accurate payment for their health benefits.Main Responsibilities:Engage with hospitalized clients to ensure their needs are attended to and...


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

    About UsWe are a leading provider of workforce solutions, dedicated to delivering exceptional service and support to our clients. Our team is passionate about helping organizations achieve their goals, and we're always looking for talented individuals to join us.Job Title: Claims Communication OfficerWe are seeking a highly skilled Claims Communication...

  • Claims Coordinator

    1 week ago


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

    Job Qualifications:• Must have an experience in processing life insurance claims, adjudicating health or life claims for 2 years and up.• Must be a bachelors degree holder of Finance, Administration or any related• Familiarity with basic regulations governing the insurance industry, including data privacy, anti-bribery and corruption laws.• Strong...


  • Quezon City, National Capital Region, Philippines Nabati Philippines Full time

    The A&P Claim Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring and monitoring all activities from end to end with the Marketing, Sales & Operations Department.Ultimately, the A&P Claim Specialist maintains a robust and dependable financial data for Nabati in the Philippines.Job...

  • Claims Processor

    3 weeks ago


    Makati City, National Capital Region, Philippines Dempsy Resource Management Inc. Full time

    RESPONSIBILITIES:- Evaluates claims receive by checking the completeness of documents, necessity and reasonableness of expenses. - Encoding and simplification of diagnosis-data entry. - Conducts routine reconciliation of Outstanding Accounts with Providers to be reported to Provider Relation Department. - Ensures that all medical claims documents are...


  • Marikina City, National Capital Region, Philippines Amaphil (Advanced Medical Access Philippines Inc.) Full time

    About the RoleWe are seeking a highly skilled Medical Claims Specialist to join our team at Amaphil (Advanced Medical Access Philippines Inc.). As a key member of our organization, you will play a vital role in processing medical claims and ensuring that all transactions are completed efficiently and accurately.The successful candidate will be responsible...