Remote Claims Investigator

2 days ago


San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱35,000 - ₱40,000

Job Title: Home-Based Claims Representative

We are looking for a highly skilled and detail-oriented individual to join our team as a Home-Based Claims Representative. This is a full-time position that requires strong communication skills, attention to detail, and the ability to work independently in a remote setting.

About the Job

This role involves investigating and resolving customer claims related to branded and imprinted merchandise. You will be responsible for managing incoming customer claims, gathering relevant information, identifying the root cause, and determining the appropriate resolution. Your goal will be to provide exceptional customer service while ensuring that all claims are resolved efficiently and effectively.

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

Requirements

  • A minimum of 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, with the ability to identify the root cause of issues and develop effective solutions
  • Excellent verbal and written communication abilities, with the ability to communicate complex information in a clear and concise manner
  • The ability to handle sensitive situations with professionalism and empathy, while maintaining confidentiality when necessary
  • High attention to detail and strong organizational habits, with the ability to prioritize tasks and manage multiple projects simultaneously

Benefits

  • A competitive salary and benefits package
  • A permanent work-from-home setup, allowing you to work in a comfortable and distraction-free environment
  • Company equipment provided, including a computer, internet, and any other necessary tools
  • HMO coverage and other health-related benefits
  • A company culture focused on growth, learning, and development, with opportunities for professional advancement

About Us

We are a leading BPO company that specializes in providing high-quality services to businesses across various industries. We are committed to delivering exceptional results while fostering a positive and inclusive work environment. If you are a motivated and talented individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity.Operations roles like this one require candidates who can handle ambiguity and are adept at working in dynamic environments. They must also be willing to learn and adapt quickly as business needs change.


  • Claims Specialist

    2 days ago


    San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱7,200 - ₱7,800

    Job OverviewAs a claims professional, you will play a vital role in ensuring the accuracy and integrity of customer claims. Your responsibilities will include reviewing and evaluating claims submitted by customers, investigating claim validity, and determining appropriate settlement amounts.With strong analytical skills and attention to detail, you will be...


  • San Fernando, Central Luzon, Philippines beBeeMedicine Full time ₱450,000 - ₱850,000

    Medical Billing SpecialistThe Medical Billing Specialist is a pivotal role within our healthcare organization. The primary responsibility involves monitoring medical claims and investigating rejections and denials.This position requires in-depth knowledge of eligibility requirements and payment methodologies, as well as the ability to work collaboratively...


  • San Fernando, Central Luzon, Philippines beBeeBilling Full time ₱250,000 - ₱400,000

    We are dedicated to delivering top-tier support to long-term care facilities across the country.As part of our growing remote operations, we're seeking a proactive individual to manage insurance billing and collections for assigned facilities.Key ResponsibilitiesReview and process claims with a high degree of accuracyInvestigate and resolve billing...


  • San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱4,032,000 - ₱5,432,000

    Dental Claims Specialist Job DescriptionWe are seeking a highly motivated and detail-oriented professional to manage and process claims, resolve issues, and provide exceptional service to our customers.Key Responsibilities:Follow up on outstanding insurance claims and ensure all follow-ups are properly documented and communicated.Send out claims and...


  • San Fernando, Central Luzon, Philippines beBeeInsurance Full time ₱900,000 - ₱1,200,000

    We are a dedicated team of professionals seeking a proactive and detail-oriented Nursing Home Biller to join our growing remote operations.About the Role:The successful candidate will be responsible for managing insurance billing and collections for assigned facilities. This involves reviewing and processing claims with high accuracy, investigating and...


  • San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱6,000,000 - ₱8,000,000

    Warranty Claims SpecialistWe are seeking an experienced professional to manage and adjudicate vehicle warranty claims.This role requires a strong understanding of warranty policies and procedures, as well as excellent communication and problem-solving skills.The ideal candidate will be able to analyze complex situations, make sound decisions, and provide...


  • San Fernando, Central Luzon, Philippines beBeeCustomerService Full time ₱15,000 - ₱25,000

    Job OpportunityAre you a customer service enthusiast looking for a remote role? We have an exciting opportunity for a Call Center Representative to join our team. As a member of our team, you will be responsible for handling inbound and outbound customer inquiries, resolving issues promptly, and promoting new products and services.ResponsibilitiesProvide...


  • San Fernando, Central Luzon, Philippines Mass Markets Full time

    OverviewMCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. We are looking for enthusiastic Remote Call Center Representatives to support inbound and outbound customer service initiatives for a diverse portfolio of well-known clients. You'll handle incoming...


  • San Fernando, Central Luzon, Philippines beBeeInsurance Full time $45,000 - $55,000

    Insurance Verification SpecialistWe are seeking a detail-oriented professional with expertise in Neurology and Allergy practices to fill this role.The position involves verifying patient insurance coverage, benefits, and eligibility to ensure smooth billing and claims processing. If you have strong experience with NextGen software and a solid background in...


  • San Fernando, Central Luzon, Philippines MCI Full time

    OverviewMCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry.Position: Remote Customer Service Agent — Full-Time, HourlyJoin or sign...