Specialist - Insurance Claims

15 hours ago

Taguig, National Capital Region, Philippines Principal Global Services (Philippines) LLC Full time ₱900,000 - ₱1,200,000 per year
Responsibilities

Description % of Time Spent

  • Analyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%
  • Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to obtain/collect information to assist with the claim process. Fully document claim and maintain claim file for all communication.  Maintain accurate monthly requirements/quality.  30%
  • Initiate ways to improve the team and work efficiency. 10%
  • Provide training/coaching and act as a resource for the NIGO/IGO team. 10%
  • Organize, set priorities, and effectively manage caseload to ensure all requirements are met. May assist others in establishing their workload priorities.  25%

Qualifications

Qualifications

Qualifications

  • High school diploma or GED required, or 2-4 years related work experience
  • Ability to maintain a high degree of accuracy while being detail oriented required
  • Must be able to work in a team environment
  • Good analytical, organizational, problem solving and decision-making skills
  • Ability to maintain confidentiality
  • Strong verbal and written communication skills (must be able to communicate with individuals experiencing illnesses, financial losses, or deaths of loved ones as well as legal and/or medical professionals)
  • Ability to maintain good public relations with customers (employers, employees, and beneficiaries)

  • Insurance Claims Specialist

    16 hours ago

    Taguig, National Capital Region, Philippines Axinan Philippines Inc Full time ₱1,200,000 - ₱2,400,000 per year

    About IglooIgloo (formerly Axinan) is the first full-stack insurtech firm to emerge from Singapore. With offices across Singapore, Indonesia, Thailand, the Philippines, Vietnam, Malaysia, China and India, Igloo is fueled by a mission of making insurance accessible and affordable for all. Igloo's innovation solutions empower companies to eliminate operational...

  • Insurance Claims Specialist

    5 days ago

    Taguig, National Capital Region, Philippines Systemantech Full time ₱200,000 - ₱300,000 per year

    This role is responsible for timely and accurateresolution of account receivables either through insurance payment collections, adjustment, or write offs.This job description will be reviewed periodically and is subject to change by management.RESPONSIBILITIES:➢ Performs AR follow-up on assigned accounts taking into account Timely Filing Limitsset by the...

  • Specialist - Insurance Claims

    13 hours ago

    Taguig, National Capital Region, Philippines Principal Global Services (Philippines) LLC Full time ₱400,000 - ₱600,000 per year

    Responsibilities:Description % of Time SpentAnalyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to...

  • Associate - Insurance Claims

    1 week ago

    Taguig, National Capital Region, Philippines Principal Global Services Full time ₱300,000 - ₱450,000 per year

    ResponsibilitiesDescription % of Time SpentAnalyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to obtain/collect...

  • Associate - Insurance Claims

    15 hours ago

    Taguig, National Capital Region, Philippines Principal Global Services (Philippines) LLC Full time ₱250,000 - ₱500,000 per year

    Responsibilities:Description % of Time SpentAnalyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to...

  • Claims Examiner

    1 week ago

    Taguig, National Capital Region, Philippines Curran Daly + Associates Full time ₱1,200,000 - ₱2,400,000 per year

    We are seeking aPersonal Injury Claims Managerto lead, strategize, and optimize the firm's Personal Injury (PI) claims operations across multiple teams. This role plays a critical part in driving case efficiency, ensuring compliance with U.S. PI standards, and enhancing overall client experience and claim outcomes.The ideal candidate brings deep expertise in...

  • Healthcare Claims Specialist

    2 weeks ago

    Taguig, National Capital Region, Philippines Systemantech Full time ₱300,000 per year

    This role is responsible for timely and accurateresolution of account receivables either through insurance payment collections, adjustment, or write offs.This job description will be reviewed periodically and is subject to change by management.RESPONSIBILITIES:➢ Performs AR follow-up on assigned accounts taking into account Timely Filing Limitsset by the...

  • Medical Claims Specialist

    2 weeks ago

    Taguig, National Capital Region, Philippines Optum Full time ₱1,500,000 - ₱3,000,000 per year

    Job Qualifications:Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC SYSTEM.Willing to work ...

  • Personal Lines/Claims Insurance Associate

    5 days ago

    Taguig, National Capital Region, Philippines ATOS Information Technology Inc. Full time ₱900,000 - ₱1,200,000 per year

    About AtosAtos is a global leader in digital transformation with c. 78,000 employees and annual revenue of c. € 10 billion. European number one in cybersecurity, cloud and high-performance computing, the Group provides tailored end-to-end solutions for all industries in 68 countries. A pioneer in decarbonization services and products, Atos is committed to...

  • Insurance Head

    5 days ago

    Taguig, National Capital Region, Philippines Filinvest Group Full time ₱1,200,000 - ₱2,400,000 per year

    The Insurance Head is responsible for setting the insurance strategy and for delivering advice and support on all matters related to insurance. The Insurance Head is the company insurance expert and as such directs and guides the businesses in such matters. They are responsible for continually reviewing the companies risk profiles to ensure the insurance...