Medical Claims Liaison Officer

5 days ago


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

Job Title: Medical Claims Liaison Officer

Company Overview

Hunter'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 Description
  • Develop and maintain strong relationships with third-party vendors, including TPAs and healthcare providers.
  • Coverage analysis and approval, up to P500K, with proper escalations for amounts beyond this limit.
  • Case management coordination, ensuring seamless customer experiences.
  • Engage with hospitalized clients, providing meaningful services during confinement.
Required Skills and Qualifications
  • Bachelor's degree in a relevant field, such as medicine or healthcare administration.
  • Minimum 5 years of experience in an HMO or health insurance company, with at least 3 years in a liaison officer role.
  • Excellent interpersonal and communication skills, including written and verbal abilities.
  • Good presentation skills and ability to speak publicly.
  • Strong networking skills and ability to build relationships with stakeholders at all levels.
Benefits
  • A competitive salary package, including performance-based bonuses.
  • Ongoing training and development opportunities, including professional certifications.
  • A collaborative and dynamic work environment, with opportunities for growth and advancement.


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