Current jobs related to Claims Processing Specialist - Manila, National Capital Region - BroadPath Global Solutions Inc.

  • Claims Processing Specialist

    7 days ago

    Manila, National Capital Region, Philippines MicroSourcing Full time

    **Company Overview:**Our company, MicroSourcing, is a leading provider of managed services with over 9,000 professionals across 13 delivery centers. We believe in fostering an inclusive culture that embraces individuals of all backgrounds.About the Job:We are looking for a Claims Processing Specialist to join our team. As a Claims Processing Specialist, you...

  • Claims Resolution Specialist

    7 days ago

    Manila, National Capital Region, Philippines Shopee Full time

    About the RoleShopee is seeking a Claims Resolution Specialist to join its Business Development and Partnerships team. The ideal candidate will have excellent problem-solving and negotiation skills, as well as the ability to analyze data and identify trends in claims.Key ResponsibilitiesGather evidence to support claims related to lost, damaged, or delayed...

  • Insurance Claim Specialist

    2 days ago

    Manila, National Capital Region, Philippines Linkage Foods Ventures Corporation Full time

    The Insurance Claim Specialist plays a crucial role at Linkage Foods Ventures Corporation, ensuring that marketing activities and promotions are fully reimbursed from the principal. The primary responsibility is to verify that all necessary documentation is accurately reflected in the ERP system.Key Responsibilities:Process claims for approved marketing...

  • Remote Claims Support Specialist

    1 day ago

    Manila, National Capital Region, Philippines JobsAvenuePH Full time

    At JobsAvenuePH, we're seeking a highly skilled and detail-oriented IDR Claims Support Specialist to join our remote team. As a key member of our Australian-based claims management services company, you'll play a vital role in reviewing, processing, and settling claims according to company guidelines and procedures.Key Responsibilities:Review and process...

  • Medical Claims Specialist

    7 days ago

    Manila, National Capital Region, Philippines Jade Solutions and Management Services Full time

    Job Summary:We are seeking a highly detail-oriented and organized Medical Claims Specialist to join our team at Jade Solutions and Management Services. In this role, you will be responsible for evaluating claims received by checking the completeness of documents, necessity, and reasonableness of expenses.Key Responsibilities:Evaluating medical claims and...

  • Medical Claims Specialist

    7 days ago

    Manila, National Capital Region, Philippines Hunters Hub Inc. Full time

    Job DescriptionAt Hunters Hub Inc., we are seeking a highly skilled Medical Claims Specialist to join our team.Responsibilities:Assess and adjudicate hospitalization claims in real-time, ensuring timely processing and effective communication with customers.Conduct thorough analysis of medical documents to make informed claims decisions, demonstrating...

  • Claims Processing Consultant

    1 day ago

    Manila, National Capital Region, Philippines Lancesoft Philippines Full time

    Senior Business Analyst - HealthcareThis is a mid-senior level contract position for a Senior Business Analyst - Healthcare at Lancesoft Philippines. As a key member of the team, you will be responsible for delivering high-quality solutions that meet the evolving needs of our clients in the healthcare industry.Key ResponsibilitiesCollaborate with...

  • Medical Claims Specialist

    7 days ago

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

    Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at TakeCare Asia Philippines, Inc. This is an exciting opportunity for a motivated individual to utilize their expertise in claims management, coordination of benefits, and provider appeals.About the RoleThe ideal candidate will have a strong background in medical-related...

  • Claims Management Associate

    18 hours ago

    Manila, National Capital Region, Philippines JobsAvenuePH Full time

    JobsAvenuePH is partnering with Remote Staff to seek a highly skilled IDR Claims Support Specialist. As a key member of our team, you'll be responsible for reviewing, processing, and settling claims according to company guidelines and procedures. This is a great opportunity to work from home and join a dynamic team in the claims management industry.Key...

  • Healthcare Claims Specialist

    1 day ago

    Manila, National Capital Region, Philippines ADDMORE Outsourcing - A Division of ADDMORE Services LLC Full time

    Job Overview:We are looking for a skilled Healthcare Claims Specialist to join our team at ADDMORE Outsourcing. This individual will be responsible for managing patient billing, handling insurance claims, and providing accurate coding for medical procedures and diagnoses.Key Responsibilities:Accurately assign ICD-10, CPT, and HCPCS codes to patient diagnoses...

  • Dealer Warranty Claims Specialist

    6 days ago

    Manila, National Capital Region, Philippines Hyundai Motor Philippines Inc. Full time

    Job Summary:The Hyundai Motor Philippines Inc. is seeking an experienced Dealer Warranty Claims Specialist to supervise the day-to-day warranty operation of HMPH to its dealer network.Key Responsibilities:Supervise the day-to-day warranty operation of HMPH to its dealer network.Supervise the efficient warranty claims processing of dealers from submission to...

  • Remote Staff Pure WFH Claims Specialist for AU Claims Management

    2 weeks ago

    Manila, National Capital Region, Philippines JobsAvenuePH Full time

    Remote Staff, in partnership with JobsAvenuePH, is seeking a skilled and detail-oriented Claims Specialist to join our team. This is a full-time, work-from-home position, offering the opportunity to work with an Australian Claims Management Services company.Key Responsibilities:Review, process, and settle claims in accordance with company guidelines and...

  • Claims Associate Specialist

    6 days ago

    Manila, National Capital Region, Philippines United Coconut Planters Life Assurance Corp (Cocolife) Full time

    The Claims Associate role at United Coconut Planters Life Assurance Corp (Cocolife) involves handling received claims from partner providers and/or clients, evaluating and processing claims efficiently. This includes generating requests for payment, facilitating check accommodations, accurately transmitting checks, and maintaining up-to-date claims...

  • Unpaid Claims Resolution Specialist

    15 hours ago

    Manila, National Capital Region, Philippines NEW CANAAN INSURANCE AGENCY Full time

    Job SummaryWe are seeking a highly motivated and results-driven Unpaid Claims Resolution Specialist to join our team at NEW CANAAN INSURANCE AGENCY. In this role, you will be responsible for resolving unpaid claims and ensuring timely payment of premiums.About the RoleYou will investigate and resolve unpaid claims and ensure timely payment of...

  • Claims and Inventory Specialist

    1 day ago

    Manila, National Capital Region, Philippines Golocad Full time

    Key ResponsibilitiesWe are seeking an experienced professional to join our team as an Inventory and Claims Controller. Key responsibilities include:Developing and implementing effective inventory control procedures to minimize losses and discrepancies.Conducting thorough investigations into claims related to product discrepancies, damages, or...

  • Full-Time IDR Claims Processor

    22 hours ago

    Manila, National Capital Region, Philippines JobsAvenuePH Full time

    We're looking for a dedicated and detail-oriented IDR Claims Support Specialist to join our team at JobsAvenuePH. This is a full-time work-from-home position that offers the opportunity to work with an Australian claims management services company. Our ideal candidate will have a strong understanding of claims processing and management...

  • Healthcare Claims Collections Specialist

    1 day ago

    Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

    About the JobThis position plays a vital role in ensuring seamless healthcare claims collections. As a Claims and Payments Resolution Expert, you will interact with customers to gather support data, verify claim status, and collect unpaid claims. Your expertise will be instrumental in maintaining accurate invoices and accounts receivable.Key...

  • Australian Claims Management Professional

    1 day ago

    Manila, National Capital Region, Philippines JobsAvenuePH Full time

    Job SummaryAustralian Claims Management Services company is seeking a skilled and detail-oriented Claims Specialist to join their team. As a full-time, work-from-home position, this opportunity offers the chance to work with a reputable firm.Key Responsibilities:Review, process, and settle claims in accordance with company guidelines and...

  • Remote Work-from-Home Claims Specialist for AU

    22 hours ago

    Manila, National Capital Region, Philippines JobsAvenuePH Full time

    About Our CompanyAustralia-based Claims Management Services company seeks a Claims Specialist to review and settle claims, collaborate with coordinators, and maintain accurate records. This full-time, work-from-home opportunity requires at least 2+ years of experience in a similar role, preferably within an Australian or New Zealand business environment.What...

  • Claims Processing Specialist

    7 days ago

    Manila, National Capital Region, Philippines MicroSourcing Full time

    Job DescriptionAs an Insurance Operations Specialist at ReSource Pro, you will be part of a leading provider of integrated, innovative operational solutions to US-based insurance organizations. Our client has a large and growing base of more than 10,500 employees based in the U.S., China, India, and Serbia with 400+ clients.Process complex insurance tasks...

Claims Processing Specialist

1 week ago

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

We are seeking a highly skilled Claims Processing Specialist to join our team at BroadPath Global Solutions Inc. The ideal candidate will have a strong background in medical claims processing and be proficient in evaluating coverage, calculating benefits, and ensuring compliance with national guidelines and company policies.

The successful Remote Healthcare Professional will play a crucial role in ensuring our members receive accurate and timely claim processing while working from home.

Key Responsibilities:
  • Process medical claims with precision by evaluating coverage, calculating benefits, and ensuring compliance with national guidelines and company policies
  • Manage claim-specific calculations including deductibles, out-of-pocket maximums, and accumulators to ensure accurate benefit administration
  • Collaborate virtually with our Quality team to resolve complex claims and contribute to process improvements
Qualifications:
  • High School Diploma
  • Minimum 1 year of medical claims processing experience
  • Proven experience with ICD-10 coding
  • Strong critical thinking and analytical skills
  • Proficiency in virtual collaboration tools (Zoom and Microsoft Teams)