Optimize Claims Process

Quality Assurance SpecialistOur organization is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a crucial role in ensuring the quality and accuracy of our claims processing.Key Responsibilities:Conduct thorough audits of claims to assess compliance with industry standards and internal...

Job Title: Claims SpecialistWe are seeking a skilled and organized individual to manage administrative tasks related to PhilHealth claims processing.The successful candidate will be responsible for scheduling and receiving claims, reviewing each document for completeness and accuracy, analyzing variances in accordance with PhilHealth policies, determining...

Claims Specialist RoleThe Claims Associate plays a vital role in ensuring seamless claim processing and streamlining the claims management process.This position requires strong organizational skills, attention to detail, effective communication, and proficiency in handling multiple tasks simultaneously.The ideal candidate will possess excellent time...

The role of a Medical Claims Coordinator is to oversee the efficient and accurate submission and tracking of medical claims, ensuring compliance with relevant policies and regulations.Key Responsibilities:Audit and process claim submissions in a timely mannerManage organized spreadsheets for accurate data entryMonitor payments and denials to optimize claim...

Monee is a part of Sea Group, a leading global consumer internet company. Monee's mission is to better the lives of individuals and businesses in our region with financial services through technology. Monee's offerings include mobile wallet services, payment processing, credit offerings, and related digital financial services and products. These are...

The primary role of this position is to support Claims Adjusters located in North America by completing various tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance policies, documenting claims, and coordinating with adjusters, keeping detailed record of...

Role Purpose:The primary role of this position is to support Claims Adjusters located in North America by completing various complex tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering sensitive, high valued and important claims, reviewing insurance policies, documenting claims, and...

Qualifications:At least 5 years of experience in non-life insurance, specifically in claims processing for Motor, Marine & Aviation, Surety & Casualty, or Property & Engineering linesPreferably with Basic Non-Life Insurance certificationStrong analytical and problem-solving skillsProficient in Microsoft Office applicationsWilling to work on-site in Ortigas...

Role Purpose:The primary purpose of this role is to produce a high quality Claims work through prompt and professional contact with customers and brokers.  Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported.Key...

Key Responsibilities:1. Process claims document and index to appropriate claims files in the system.2. Responsible for FNOL (First Notice of Loss)/ new claim files creation and registration in the system including policy verification/ upload of policy documents and determination of appropriate coverage.3. Ensures loss reserves are set and maintained with...