PhilHealth Claims Processing Administrator

Job Title: Renal Clinic Claims ProcessorJob SummaryWe are seeking a highly detail-oriented and proactive individual to join our team as a Renal Clinic Claims Processor. The successful candidate will be responsible for managing administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining...

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 OVERVIEW We are seeking a detail-oriented and proactive PhilHealth Claims Processing Assistant to join our healthcare administration team. The successful candidate will be responsible for managing administrative and clerical tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining compliance with...

Job Title: Claims Process Optimization Lead">The primary purpose of this role is to collaborate closely with stakeholders to drive and implement strategic process improvements initiatives that optimize team efficiency while prioritizing exceptional customer service.">The position is accountable for developing and implementing a comprehensive framework for...

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...

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...

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...

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...

Key Responsibilities:Assist in the end-to-end processing of claims, including data entry, documentation, and follow-ups.Review and verify claim forms, supporting documents, and ensure completeness and accuracy.Coordinate with internal departments to resolve discrepancies and gather necessary information.Maintain and update claim records in the system.Monitor...

Qualifications:Tertiary Qualified or minimum of 2 years of experience in claims handling, administrative support, with voice process or a related role, preferably within the insurance industry. Familiarity with call center software and customer relationship management (CRM) systems Claims processing, insurance industry or customer service background for at...