Current jobs related to Claims Resolution Expert - Makati City, National Capital Region - UnitedHealth Group

  • Claims Resolution Coordinator

    6 days ago

    Makati City, National Capital Region, Philippines Dempsy Resource Management Inc. Full time

    Job Title: Claims Resolution CoordinatorJob Summary:We are seeking an experienced Claims Resolution Coordinator to join our team. The successful candidate will be responsible for evaluating claims, encoding and simplifying diagnosis-data entry, conducting routine reconciliation of Outstanding Accounts with Providers, and ensuring all medical claims documents...

  • Healthcare Claims Expert

    2 days ago

    Makati City, National Capital Region, Philippines UnitedHealth Group Full time

    About the RoleWe are seeking a skilled Healthcare Claims Expert to join our team. In this challenging role, you will be responsible for reviewing, researching, and resolving complex claims and benefits issues.The ideal candidate will have 3+ years of experience in claims or collections, with a strong analytical mind and excellent problem-solving...

  • Insurance Claims Resolution Expert

    3 hours ago

    Quezon City, National Capital Region, Philippines NTT DATA North America Full time

    We are seeking a skilled Insurance Claims Resolution Expert to join our team in the Philippines.The ideal candidate will have strong analytical skills and be able to communicate effectively with clients and internal departments.Responsibilities include answering inbound calls regarding verification of health insurance benefits, eligibility and claim status,...

  • Healthcare Claims Resolution Professional

    3 days ago

    Mandaluyong City, National Capital Region, Philippines ISTA Solutions Full time

    Job DescriptionThe Healthcare Claims Resolution Professional position at ISTA Solutions involves working with patients and insurance companies to resolve claims-related issues and ensure accurate billing.Key TasksCommunicate with patients to resolve billing inquiries and address concerns.Collaborate with insurance companies to resolve claims disputes and...

  • Investigations and Resolution Specialist

    2 days ago

    Makati City, National Capital Region, Philippines UnitedHealth Group Full time

    ResponsibilitiesAs a Resolutions Specialist, you will be responsible for resolving complex claims and benefits issues. You will work closely with internal stakeholders to ensure timely and accurate resolution.The ideal candidate will have 3+ years of experience in claims or collections, with a strong analytical mind and excellent problem-solving...

  • Claims Officer

    3 weeks ago

    Makati City, National Capital Region, Philippines AXA Full time

    BAU Responsibilities:Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turnaround time.Ensures that the life claims benefits are paid out in accordance with existing Philippine life insurance laws and...

  • Hospital Claims Coordinator

    1 day ago

    Makati City, National Capital Region, Philippines Eteam Workforce Private Corporation Full time

    The Eteam Workforce Private Corporation is seeking a highly skilled Hospital Claims Coordinator to join our team. As a Health Claims Liason Officer, you will be responsible for managing hospital claims from start to finish.Key Responsibilities:Manage hospital claims from receipt to resolutionCollaborate with internal teams to ensure seamless claim...

  • Insurance Claims Expert

    7 days ago

    Mandaluyong City, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full time

    Job Overview: Our company, Vector Outsourcing Solutions Philippines, is a leading provider of revenue cycle management services. We are seeking a highly skilled Medical Billing Consultant to join our team. In this role, you will be responsible for ensuring accurate and timely submission of medical insurance claims.Key Job Responsibilities:Accurate Claims...

  • Financial Transaction Resolution Expert

    8 hours ago

    Mandaluyong City, National Capital Region, Philippines Global Payments, Inc. Full time

    Financial Transaction Resolution ExpertWe're seeking a skilled Financial Transaction Resolution Expert to join our team. As a key member of our customer support team, you'll be responsible for resolving complex financial transactions and ensuring timely issue resolution.You'll work closely with other departments to ensure seamless communication and efficient...

  • Administrative Support Officer

    5 days ago

    Makati City, National Capital Region, Philippines Trinity Workforce Solutions Full time

    About the RoleWe are seeking a highly organized and communicative individual to join our Trinity Workforce Solutions team as a Claims Communication Officer. In this role, you will be responsible for managing claims administration, including preparing and sending advisories, updating trackers, and performing administrative tasks.Key Tasks and...

  • Chargeback Resolution Expert

    2 days ago

    Makati City, National Capital Region, Philippines Neksjob Corporation Full time

    Neksjob Corporation is seeking a Chargeback Resolution Expert to manage chargeback processes and resolve billing disputes.This role involves collaborating with internal teams, handling AP and AR, and maintaining accurate records. The ideal candidate will have above-average communication skills and AP and AR experience.About the Role:Manage chargeback...

  • Customer Resolution Expert

    8 hours ago

    Makati City, National Capital Region, Philippines John Clements Consultants, Inc. Full time

    Job OverviewWe are looking for an experienced Customer Resolution Expert to join our Service Desk team at John Clements Consultants, Inc. The ideal candidate will have a strong background in technical support and excellent communication skills.Key Accountabilities:Assume initial ownership for the coordination, investigation, and documentation of customer's...

  • HR Conflict Resolution Expert

    2 days ago

    Quezon City, National Capital Region, Philippines Fastrack Multi-Purpose Cooperative Full time

    Fastrack Multi-Purpose Cooperative is seeking an HR Conflict Resolution Expert to join our team. This role will involve working closely with employees and management to resolve conflicts and improve workplace relationships.The key responsibilities of this role include:Investigating and mediating employee complaints and grievancesDeveloping and implementing...

  • First Line Resolution Expert

    2 days ago

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

    Hunter's Hub Inc. is seeking an experienced First Line Resolution Expert to join our team. In this role, you will be responsible for monitoring workflow/pipeline/job executions in Production environment and serving as the first point of contact for technical assistance.The ideal candidate should have strong problem-solving skills, excellent communication...

  • Technical Assistance and Resolution Expert

    2 days ago

    Quezon City, National Capital Region, Philippines Manpower Core Group Inc. Full time

    **About the Role:**We are seeking a Technical Assistance and Resolution Expert to join our IT team at Manpower Core Group Inc.In this role, you will provide technical assistance and support to our customers, resolving issues related to desktop, server, and printer devices.You will work closely with our IT team to troubleshoot and resolve technical issues,...

  • Patient Advocacy and Benefits Analyst

    2 days ago

    Makati City, National Capital Region, Philippines UnitedHealth Group Full time

    About the TeamWe are part of the UnitedHealth Group, a global organization that delivers care and technology to help people live healthier lives.As a Patient Advocacy and Benefits Analyst, you will be responsible for providing expert support on patient advocacy and benefits matters.The ideal candidate will have 3+ years of experience in claims or...

  • Estimate Management Expert

    2 days ago

    Quezon City, National Capital Region, Philippines Jaber Resolution INC. Full time

    Job SummaryJaber Resolution INC. is seeking a highly skilled Cost Estimator to join our team. The successful candidate will be responsible for preparing accurate and detailed estimates for various projects, including analyzing blueprints, technical specifications, and other documentation to estimate costs, consulting with clients and vendors, and conferring...

  • Fraud Investigation Expert

    11 hours ago

    Makati City, National Capital Region, Philippines Nityo Infotech Full time

    Nityo Infotech is a leading provider of IT services, and we are currently seeking a Fraud Investigation Expert to join our team.As a Fraud Investigation Expert, you will be responsible for receiving and handling disputes from member banks. You will need to assess each dispute promptly and take genuine steps to resolve or clarify using approved dispute...

  • Clinical Revenue Cycle Expert

    2 days ago

    Quezon City, National Capital Region, Philippines Sourcefit DR Full time

    Job Description:The Clinical Revenue Cycle Expert - Medical Billing position involves monitoring claim status, researching and resolving claim rejections and denials, and documenting all related account activities. This role requires a high level of attention to detail and organizational skills.Responsibilities:Monitor claim status to ensure timely...

  • Procurement Specialist

    1 day ago

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

    Hunter's Hub Inc. is seeking a highly skilled Vendor Collaboration Expert to join our team.Job Description:The successful candidate will be responsible for developing and maintaining strong relationships with vendors to ensure effective communication and collaboration.Key Skills:Strong relationship-building skillsNegotiation and conflict resolution...

Claims Resolution Expert

1 week ago

Makati City, National Capital Region, Philippines UnitedHealth Group Full time
Responsibilities:
  • Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving all types of claims, including recovery and resolution for health plans, commercial customers, and government entities.
  • Analyze data, identify trends, and provide reports as necessary to ensure adherence to state and federal policies, reimbursement policies, and contract compliance.