Home-Based Claims Resolution Specialist

1 day ago


Province of Palawan, Mimaropa, Philippines beBeeClaims Full time ₱35,000 - ₱45,000
Remote Claims Specialist

We are seeking a skilled Remote Claims Specialist to join our team.

  • This is a full-time opportunity with a competitive salary package.

The successful candidate will be responsible for investigating and resolving customer claims related to branded and imprinted merchandise.

Key Responsibilities:

  • Manage and investigate incoming customer claims related to promotional product orders, including but not limited to incorrect or missing imprints, damaged or defective products, late or misdelivered shipments, pricing discrepancies, or billing concerns.

  • Work closely with internal departments such as production, art, sales, shipping, and customer service to gather relevant information, identify the root cause, and determine the appropriate resolution.

  • Communicate with customers professionally and empathetically throughout the claims process. Provide updates, explain investigation findings, and present resolution options.

  • Coordinate and process claims resolutions, including product reprints, credits, refunds, replacements, or discounts, in alignment with company guidelines and authorization levels.

  • Maintain accurate and thorough documentation of all claims, outcomes, communications, and resolution actions within internal systems. Assist in preparing trend reports and contributing to process improvement initiatives.

  • Identify recurring issues and escalate them to the Claims Manager to help drive improvements in product quality, vendor accountability, and fulfillment accuracy.

Requirements:

  • Minimum 2 years of experience in customer service, claims resolution, or order investigation, ideally within the promotional products industry or a similar custom manufacturing environment.

  • Strong analytical and investigative skills

  • Excellent verbal and written communication abilities

  • Ability to handle sensitive situations with professionalism and empathy

  • High attention to detail and strong organizational habits

  • Comfortable navigating multiple systems, including order management and CRM platforms

  • Ability to manage multiple claims simultaneously in a fast-paced environment

  • High school diploma or GED required.

  • Familiarity with the promotional products lifecycle, including customization methods (e.g., screen printing, embroidery, pad printing, etc.)

  • Experience working with vendors, decorators, and fulfillment partners

  • Proficiency in ERP and CRM systems used in the promotional products industry

What We Offer:

  • Permanent work-from-home setup

  • Company equipment provided

  • Internet stipends upon regularization

  • HMO Coverage

  • PTO credits and service incentive leaves

  • Major spring and winter company live events

  • Monthly employee appreciation virtual events

  • Company-provided career skills training courses

  • A company culture focused on your personal and professional growth



  • Province of Palawan, Mimaropa, Philippines beBeeClaims Full time $50,000 - $70,000

    We are seeking a detail-oriented and analytical individual to join our team as a Medical Claims Specialist.About the RoleThis is an exciting opportunity for someone who enjoys working with numbers, analyzing data, and problem-solving. As a Medical Claims Specialist, you will play a vital role in maximizing insurance reimbursement for healthcare practice...


  • Province of Palawan, Mimaropa, Philippines beBeeCustomerService Full time ₱30,000 - ₱60,000

    Customer Service RepresentativeThis role involves supporting a diverse portfolio of clients with customer service initiatives.To excel in this position, you will require strong proficiency in English and the ability to handle inbound and outbound calls professionally and efficiently.Resolve customer issues on the first call through effective...


  • Province of Palawan, Mimaropa, Philippines beBeeTechnical Full time ₱100,000 - ₱120,000

    Job OpportunityWe are seeking a skilled technical support representative to provide exceptional customer service and resolve technical issues.Key Responsibilities:Respond to inbound technical support requests via phone, chat, or emailDiagnose and troubleshoot hardware, software, and network issuesGuide customers through step-by-step solutions and escalate...


  • Province of Palawan, Mimaropa, Philippines beBeeDentalClaims Full time ₱450,000 - ₱600,000

    Dental Claims Specialist Job Description">The role of a Dental Claims Specialist is to provide exceptional service to customers by managing and processing claims, resolving issues, and delivering support to clients while maintaining quality and integrity.Key responsibilities include following up on outstanding insurance claims, ensuring all follow-ups are...


  • Province of Palawan, Mimaropa, Philippines beBeeDentalClaims Full time ₱500,000 - ₱800,000

    We are seeking an experienced Dental Claims Specialist to join our team.As a key member of our organization, you will be responsible for managing and processing claims, resolving issues, and providing support while maintaining quality and integrity.Key Responsibilities:Follow-up status of outstanding insurance claims, documenting all follow-ups and...


  • Province of Palawan, Mimaropa, Philippines beBeeMedicalBilling Full time ₱240,000 - ₱399,000

    Medical Billing SpecialistAs a Medical Billing Specialist, you will play a pivotal role in ensuring seamless financial processes for healthcare clients. Your expertise in accurately posting medical charges, payments, and journal entries to patient accounts will be essential in maintaining efficient billing systems.Responsibilities include working directly...


  • Province of Palawan, Mimaropa, Philippines beBeeMedicalBiller Full time ₱35,000 - ₱45,000

    Job OverviewWe seek a detail-oriented and organized medical professional to manage our healthcare claims and insurance processes.Main ResponsibilitiesAccurately input claim information into the system and maintain organized spreadsheets for tracking payments and denials.Resubmit denied or incorrect claims, resolve any related issues promptly, and ensure...


  • Province of Palawan, Mimaropa, Philippines beBeeMedicalClaimsExpert Full time ₱700,000 - ₱950,000

    Job DescriptionWe are seeking a highly skilled Medical Claims Expert to join our team. This role is accountable for monitoring the status of medical claims, investigating rejections and denials, and documenting related account activities.ResponsibilitiesVerify patient eligibility and benefits to ensure accurate coverage.Submit claims in a timely and...


  • Province of Palawan, Mimaropa, Philippines beBeeClaims Full time ₱750,000 - ₱1,250,000

    Customer Operations CoordinatorWe are seeking a dedicated and professional individual to join our team as a Customer Operations Coordinator.In this role, you will provide exceptional service to customers involved in motor vehicle accidents, ensuring smooth coordination of bookings, customer updates, towing, and vehicle repairs.You will be responsible for...


  • Province of Palawan, Mimaropa, Philippines beBeeMedicalBiller Full time ₱250,000 - ₱400,000

    Job Role OverviewThe Medical Biller position involves accurate and timely processing of medical charges, payments, and journal entries for patient accounts.Interact with insurance companies, healthcare providers, and patients to ensure claims are processed efficiently.Verify correct insurance filing information on behalf of clients and patients.Prepare,...