Insurance Claim Resolution Expert
5 days ago
In this Insurance Claim Resolution Expert role, you'll be responsible for managing healthcare claims, resolving payment disputes, and verifying claim status with insurance providers. You'll need to have a solid background in medical billing and collections, as well as experience working on the provider side.
Familiarity with EPIC SYSTEM and UB04 forms, and the ability to multitask, are also essential requirements for this position.
Key Tasks:- Managing healthcare claims and resolving payment disputes.
- Verifying claim status with insurance providers.
- Collecting unpaid claims.
- Processing claims payments.
- An education level of at least college undergrad for 2 years.
- Strong background in medical billing/AR Collections for at least 12 months.
- Experience working on the Provider side (hospital side).
- Background in calling insurance (Payer) to verify claim status and payment dispute.
- Proficiency with Windows PC applications.
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Insurance Claims Manager
2 days ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeTrinity Insurance and Reinsurance Brokers, IncWe are seeking a skilled Claims Lead for our Employee Benefits division to oversee the end-to-end processing of claims. As a key member of our team, you will be responsible for guiding and directing claims staff to achieve team objectives.The Role:This role requires strong coordination and communication skills to...
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Claims Management Specialist
5 days ago
Manila, National Capital Region, Philippines Bonifacio Insurance Broker Corporation Full timeKey ResponsibilitiesClaims Management: The Insurance Claims Supervisor will be responsible for coordinating with insurers and clients to ensure timely resolution of insurance claims. This includes ensuring that claims decisions are fair and adhere to insurance policy contract coverage, terms, and conditions.Team Supervision: The supervisor will lead and...
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Claims Resolution Manager
3 days ago
Manila, National Capital Region, Philippines Pioneer Your Insurance Full timeAbout the RolePioneer Your Insurance is seeking a Claims Analyst to join our team. As a Claims Analyst, you will play a key role in verifying coverage and making recommendations on claims.Key ResponsibilitiesCoverage Verification: Verify coverage in-force at the time of loss.Claim Recommendations: Make recommendations on claim action or require further...
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Insurance Claim Analyst
3 days ago
Manila, National Capital Region, Philippines Shopee Full timeAbout the JobWe are seeking an experienced Insurance Claim Analyst to join our team at Shopee. In this role, you will investigate and process claims related to lost, damaged, or delayed goods in transit.Analyze data to identify trends in claims and provide recommendations for improvement.Develop and implement processes to streamline claim resolution and...
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Insurance Claims Examiner
1 day ago
Manila, National Capital Region, Philippines Pioneer Your Insurance Full timeJob Summary:We are seeking a skilled Property Claims Evaluator to join our team at Pioneer Your Insurance. In this role, you will be responsible for evaluating property claims, negotiating with suppliers and claimants, and coordinating with internal teams.Key Responsibilities:Evaluate property claims to determine their validity and potential...
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Insurance Claims Operations Manager
5 days ago
Manila, National Capital Region, Philippines Bonifacio Insurance Broker Corporation Full timeJob OverviewThe Insurance Claims Supervisor role at Bonifacio Insurance Broker Corporation is a key position in our claims processing team. This supervisory position involves overseeing the daily operations of the claims team, ensuring compliance with regulatory requirements and company policies, and delivering excellent service to clients.This is an...
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Insurance Claims Examiner
3 days ago
Manila, National Capital Region, Philippines Pioneer Your Insurance Full timeJob OverviewPioneer Your Insurance seeks a skilled Claims Analyst to join our team. As a Claims Analyst, you will play a crucial role in verifying coverage and making recommendations on claims.Key ResponsibilitiesCoverage Verification: Determine if coverage is in-force at the time of loss.Claim Recommendations: Make recommendations on claim action or require...
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Supervisor of Insurance Claims Department
5 days ago
Manila, National Capital Region, Philippines Bonifacio Insurance Broker Corporation Full timeQualifications and RequirementsA bachelor's degree in Business Administration, Management, or a related field.At least 5 years of experience in insurance claims processing, with 1-2 years in a supervisory role.Strong knowledge of life and general insurance products, claims processes, and regulatory requirements.
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Claims Resolution Specialist
3 days ago
Manila, National Capital Region, Philippines Shopee Full timeJob DescriptionWe are seeking a highly skilled Claims Resolution Specialist to join our team at Shopee. As a Claims Resolution Specialist, you will be responsible for investigating and processing claims related to lost, damaged, or delayed goods in transit.Gather evidence to support claims, including pre-shipment videos and photos, and work closely with our...
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Claims Lead
2 days ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeCOMPANY 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,...
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Claims Process Specialist
2 days ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeTrinity Insurance and Reinsurance Brokers, IncWe are looking for a highly skilled Claims Process Specialist to join our team in the Employee Benefits division. In this role, you will be responsible for overseeing the end-to-end processing of claims, providing guidance and direction to team members to achieve team objectives.Key Responsibilities:Claims...
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Insurance Claims Professional
3 days ago
Manila, National Capital Region, Philippines ETIQA LIFE AND GENERAL ASSURANCE PHILIPPINES, INC. Full time**Job Description:**We are seeking a highly skilled and experienced Insurance Claims Professional to join our team at ETIQA LIFE AND GENERAL ASSURANCE PHILIPPINES, INC. as a Non-Life Claims Manager.The successful candidate will be responsible for coordinating closely with insurance brokers, agents, and loss adjusters to ensure seamless claims handling...
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Claims Manager Specialist
3 days ago
Manila, National Capital Region, Philippines ETIQA LIFE AND GENERAL ASSURANCE PHILIPPINES, INC. Full time**Overview:**As a seasoned Risk Management Expert, we are looking for an individual who can effectively manage claims and drive business growth.This role involves managing non-life insurance claims, working closely with external partners, and maintaining high levels of customer satisfaction.Responsibilities:Claims Management: Manage non-life insurance claims...
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Care and Resolution Expert
6 days ago
Manila, National Capital Region, Philippines API Delevan, Inc. Full timeKey ResponsibilitiesAs a Care and Resolution Expert, you will be responsible for providing exceptional customer service and resolving complex claims and returns requests. Your primary responsibilities will include:Performing complex transactions regarding claims and returns requests and processing corresponding credits and/or denials.Working closely with...
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General Insurance Expert
5 days ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeResponsibilitiesReview incoming claims and policies, providing feedback to clients on required supporting documents.Coordinate with the account management team and insurance partners for updates on client coverage.Conduct follow-ups with clients on document submissions for claims processing.Assist in receiving and dispatching communication letters to/from...
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Insurance Claims Specialist
5 days ago
Manila, National Capital Region, Philippines Megaworld Corporation Full timeAt Megaworld Corporation, we are seeking a skilled professional to fill the role of Claims and Insurance Officer. As a key member of our team, you will be responsible for responding to claims queries and providing technical explanations regarding the terms, conditions, and coverage of our bonds and insurance policies.Key Responsibilities:Respond to claims...
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Claims Resolution Specialist
5 days ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeRequirementsA degree in Business or Engineering is preferred.Fresh graduates are welcome to apply; however, prior experience in non-life claims/client servicing is an advantage.A client-centered approach with attention to detail on claims specifications is essential.Excellent communication skills (oral and written) are required.Ability to conduct site...
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Insurance Claims Manager
5 days ago
Manila, National Capital Region, Philippines Shopee Full timeAt Shopee, we are committed to providing exceptional customer service and support. We are seeking a talented Insurance Claims Manager to join our team and lead our claims processing efforts.Responsibilities:Develop and implement effective claims handling processes and procedures.Evaluate and process claims in accordance with company policies and...
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Claims Resolution Specialist
2 days ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJob OverviewMED-METRIX INTERNATIONAL PH-I, INC. is seeking a skilled Claims Resolution Specialist to join our team.The successful candidate will be responsible for collecting payments, resolving account discrepancies, and ensuring timely billing and allowance posting.Key ResponsibilitiesFollow up with payers via phone, email, or fax to resolve outstanding...
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Claims Specialist
5 days ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeJob SummaryAs a Junior Claims Specialist, you will be responsible for attending to, assessing, and resolving claims related to motor and non-motor insurance lines.You will work closely with the account management team and insurance partners to ensure that clients' needs are met promptly and efficiently.