Claims Resolution Expert

Job DescriptionWe are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure...

The Claim Resolution Specialist plays a versatile role in the claims workflow, tasked with submitting appeals to overturn denials and trigger payments or determining whether further action, such as additional appeals or account closure, is required. Specialists in this role may prioritize tasks based on claim complexity and workload, ensuring optimal...

The role of a claims handler involves the review and evaluation of claims assigned to this position. It is essential to attend to inquiries from insured clients and walk-in customers at the assigned location. Additionally, the claim handler must approve LOA within the assigned authority limit if applicable.Maintaining knowledge of claim documentation is also...

Job DescriptionAs a claims handler, you will be responsible for reviewing and verifying documents submitted by the insured to determine the compensability of the claim.Verify the accuracy of information provided by the insured.Assess parts for comparison if repairs are to be done at non-dealership locations.Update loss reserves in our system.Properly...

Employment Type: Full-Time EmploymentWork Setup: 100% OnsiteWork Schedule: Night Shift (Following U.S. Eastern Time Zone)Location: Eastwood, Libis, Quezon CitySalary Package: 35,000 to 50,000 PHP/MonthlyJob DescriptionThe role of the Account Resolution Specialist involves overseeing accounts receivable and minimizing the volume of accounts through the...

Job Title: Clinical Claims Training ExpertWe are seeking a highly skilled Clinical Claims Training Expert to join our team. As a key member of our organization, you will be responsible for delivering comprehensive end-to-end claims process training to new hires and existing claims examiners.The primary goal of this role is to ensure that all staff members...

Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for processing claims, providing recommendations and final decisions based on set authority limits approved by management.About the RoleThis position involves coordinating with team members and other stakeholders to ensure...

Job Summary:The Claims Adjuster is responsible for investigating and processing claims for non-life insurance policies, ensuring fair and timely settlement in line with company policies and industry regulations.Job Description:Investigate and assess claims for non-life insurance lines (e.g., property, casualty, motor, liability).Conduct site inspections and...

About the role We are seeking an experienced Claims Manager (Non-Life) to join our dynamic team at Manila Bankers Assurance in Makati City, Metro Manila. As the Claims Manager (Non-Life), you will play a crucial role in overseeing the efficient and accurate processing of claims for our non-life insurance business, contributing to the overall success and...

Claims Leadership OpportunityA visionary leader is sought to oversee the claims management process for a prominent insurance company. The ideal candidate will possess strong leadership skills, excellent problem-solving abilities, and a customer-centric mindset.This role offers a unique chance to lead a high-performing team and drive operational excellence in...