Claims Processing Expert

6 days ago


Manila, National Capital Region, Philippines MicroSourcing Full time

**Job Description:**

We are looking for a highly motivated and detail-oriented Claims Processing Expert to join our team. The successful candidate will be responsible for processing complex insurance claims and operating various client systems.

Responsibilities Include:

  • Processing complex insurance tasks and operating various client systems independently.
  • Analyzing problems, developing procedures, and ensuring compliance.
  • Communicating with clients, addressing needs, and building strong relationships.
  • Auditing and troubleshooting to identify gaps, resolve issues, and meet compliance requirements.
  • Conducting training by creating training plans, managing processes, and coaching junior trainers.
  • Developing and updating SOPs (Standard Operating Procedures) and training plans to ensure alignment with operational goals.
  • Implementing quality assurance measures to ensure processes meet high standards and client expectations.
  • Supporting other tasks, including data analysis, reporting, and onboarding new clients and tasks.

About Our Client:

Our client, ReSource Pro, is a leading provider of integrated, innovative operational solutions to US-based insurance organizations. They have a large and growing base of over 10,500 employees based in the U.S., China, India, and Serbia.



  • Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full time

    Trinity 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...


  • Manila, National Capital Region, Philippines SCHENKER Manila Administrative Competence Center Inc. Full time

    Position OverviewSCHENKER Manila Administrative Competence Center Inc. is seeking a highly skilled Claims Resolution Expert - Transportation to join our team.Key Responsibilities:Address front-line claims issues with customers and suppliers, ensuring timely resolution and maintaining customer satisfaction.Gather, verify, and provide information and documents...


  • Manila, National Capital Region, Philippines John Clements Consultants, Inc. Full time

    Job SummaryThe Claims Reconciliation Expert position at John Clements Consultants, Inc. involves coordinating and facilitating claims and payment reconciliation processes. The ideal candidate will possess excellent analytical skills, attention to detail, and strong communication abilities.Reconciliation Tasks: Coordinate with cross-functional teams to...


  • Manila, National Capital Region, Philippines Bonifacio Insurance Broker Corporation Full time

    About the OpportunityWe offer a challenging and rewarding career opportunity for an experienced Insurance Claims Supervisor to join our dynamic team at Bonifacio Insurance Broker Corporation.Job Summary:The successful candidate will be responsible for leading the claims specialist team, ensuring high standards of productivity and morale. Key responsibilities...


  • 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...

  • Claims Processor

    19 hours ago


    Manila, National Capital Region, Philippines BroadPath Global Solutions Inc. Full time

    Join our innovative healthcare team as a Claims Processor, working from the comfort of your home while making a meaningful impact on our members' lives. We're seeking an experienced professional to help advance our member-centric approach to healthcare through expert claims review and adjudication using our state-of-the-art claims system. As a Claims...


  • Manila, National Capital Region, Philippines WNS Global Services, Inc. Full time

    Key ResponsibilitiesAs a Team Lead Insurance Claims Process, you will be responsible for leading and managing a team of insurance claims professionals to deliver high-quality service to our clients.You will work closely with cross-functional teams to ensure smooth process execution, identify areas for improvement, and implement changes as needed.Leadership:...


  • Manila, National Capital Region, Philippines AS White Global Full time

    About the PositionWe are seeking a highly skilled Senior Claim Compiler to join our team in Australia. The successful candidate will lead a team of 5 Claim Officers and ensure efficient and accurate claims processing.Job Duties and ResponsibilitiesLead, coach, and develop Claims Handlers to deliver exceptional service and meet performance standards.Monitor...

  • Claims Processor

    14 hours ago


    Manila, National Capital Region, Philippines ORIX RENTAL CORPORATION Full time

    About the Role:The Insurance Claims Coordinator plays a vital part in our team, responsible for overseeing and managing insurance claims from initiation to resolution. This role demands attention to detail, effective communication skills, and a deep understanding of insurance claims processes.We are seeking a Claims Processor with a Bachelor's degree in a...


  • Manila, National Capital Region, Philippines MicroSourcing Full time

    About the RoleWe are seeking a skilled Medical Claims and Billing Specialist to join our team at MicroSourcing.This is an exciting opportunity for a detail-oriented professional who enjoys working in a fast-paced environment. As a Medical Claims and Billing Specialist, you will play a critical role in ensuring accurate and timely payment processing for...


  • Manila, National Capital Region, Philippines JobsAvenuePH Full time

    Job Requirements:We are looking for a highly skilled IDR Claims Support Specialist to join our team. The ideal candidate will have:At least 2+ years of experience in a similar role, preferably within an Australian or New Zealand business environment.Strong understanding of claims processing and management.Excellent attention to detail and organizational...

  • Claims Analyst

    7 days ago


    Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full time

    Duties and Responsibilities:Claims ProductionReviews claims daily based on medical necessity, coverage guidelines, coding & payment standard and applicable regulatory and compliance requirements.Reviews claims above $25,000 in estimated payments.Reviews services for appropriateness of charges and ensures payments are consistent with authorization information...

  • Claims Analyst

    7 days ago


    Manila, National Capital Region, Philippines Shopee Full time

    Job DescriptionInvestigate and process claims related to lost, damaged, or delayed goods in transit.Gather evidence, such as pre-shipment videos and photos, to support claims.Work closely with WHOps and CCTV team to ensure that the set guidelines are being followed.Collaborate with the Logistics, Payments and Finance team to ensure all RTS Parcels for claims...

  • Claims Specialist

    6 days ago


    Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full time

    Job DescriptionWe are seeking a highly skilled Claims Specialist to join our team at TakeCare Asia Philippines, Inc. As a Claims Specialist, you will play a crucial role in ensuring the accuracy and efficiency of our claims process.Key Responsibilities:Investigate all possible Medicare and other insurance COB information utilizing the Medicare verification...

  • Claims Lead

    6 days ago


    Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full time

    COMPANY 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,...


  • Manila, National Capital Region, Philippines AS White Global Full time

    About the RoleThis Data Entry Agent position involves processing claim-related documentation to ensure accurate data management. The successful candidate will have excellent attention to detail and the ability to work efficiently.Key ResponsibilitiesEnter and update data into the database, ensuring consistency and integrity of information.Conduct thorough...


  • Manila, National Capital Region, Philippines Capgemini Philippines Corp. Full time

    This role is for a Claims and Deduction Process Specialist who will manage the financial aspects of retail operations. The responsibilities include connected dispute management, deduction management, promotion management, promo claims, settlements, and negotiating with customers.You will support Retsol and Channels programs through end-to-end operations of...


  • Manila, National Capital Region, Philippines ORIX RENTAL CORPORATION Full time

    The Claims Insurance Coordinator will be responsible for overseeing and managing insurance claims from initiation through resolution. This role requires attention to detail, effective communication skills, and a deep understanding of insurance claims processes.Graduate of Bachelor's degree in a related field2+ years of experience in claims coordination,...


  • Manila, National Capital Region, Philippines Med-Metrix Full time

    Job PurposeThe Medical Claims Processor serves as a key member of the healthcare team by processing medical claims, resolving issues, and communicating with patients.Key ResponsibilitiesClaims Processing: Process medical claims, review for accuracy, and ensure timely submissionPatient Communication: Communicate with patients regarding claim status, payment...


  • Manila, National Capital Region, Philippines ORIX RENTAL CORPORATION Full time

    Policy Resolution Expert:We are seeking a Policy Resolution Expert to join our team. As a Policy Resolution Expert, you will be responsible for managing and resolving insurance claims, ensuring that our customers receive the best possible service.You will be responsible for reviewing and processing insurance claims, identifying potential issues, and making...