Claims Analyst
4 days ago
The Claims Analyst is responsible for the overall review, assessment, and decision of claims.
Position Responsibilities:
- Determine eligible benefits based on documents submitted and policy provisions.
- Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround time.
- Ensure accurate benefit payouts in accordance with the policy details, laws and regulations.
- Discuss claim decisions with distributors whenever necessary.
- Escalate possible fraudulent claims to the Team Lead and recommend appropriate action.
Required Qualifications:
- At least three (3) years experience in life and health claims
- Graduate of any four-year course; a medical course or legal background would be an advantage
- With industry certifications or exams passed (ALMI, etc.)
- Excellent written and oral communication skills
- Highly analytical
- Excellent understanding of life insurance policy provisions
- With good understanding of medical terms and common illnesses
- With knowledge and understanding of insurance laws and regulations
- Quick thinker and can work independently under pressure
When you join our team:
We'll empower you to learn and grow the career you want.
We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
As part of our global team, we'll support you in shaping the future you want to see.
About Manulife and John Hancock
Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit
Manulife is an Equal Opportunity Employer
At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.
It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact
Working Arrangement
Hybrid-
Claims Analyst
1 week ago
Quezon City, National Capital Region, Philippines Manulife Full time ₱1,200,000 - ₱2,400,000 per yearWe're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are responsible for the overall review, assessment, and decision on payment for claims.Position Responsibilities: Responsible for the complete assessment, calculation and final decision on claims (ex. Group life, AD&D, Survivor Income claims, TDMI, Personal...
-
Claims Analyst
4 days ago
Quezon City, National Capital Region, Philippines Manulife Full timeWe're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on.Position Responsibilities: Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents.Report any overpayments,...
-
Claims Analyst
1 week ago
Mandaluyong City, National Capital Region, Philippines EPS Consultants Full time ₱250,000 - ₱400,000 per yearThe 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...
-
Medical Claims Analyst
4 days ago
Makati City, National Capital Region, Philippines iCARE - Insular Health Care, Inc. Full timeJOB PURPOSE:Responsible for analyzing, adjudicating, auditing, and processing claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, and policies within the agreed SLAs (Service Level of Agreements)JOB QUALIFICATIONS:Graduate of Bachelor of Science in Nursing or any related medical course - FRESH GRADUATES...
-
Medical Claims Reimbursement Analyst
6 days ago
Makati City, National Capital Region, Philippines InLife Health Care Full timeJOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...
-
Medical Claims Analyst
4 days ago
Makati City, National Capital Region, Philippines Ascendion Full timeJob Description / Roles and ResponsibilitiesProcess life insurance claimsEnsure accurate benefits payouts to insurance customersPerform data clean-up and related administrative tasksQualifications / SkillsExperience:1–2 years of work experience in life insurance operations or claims processingExperience in non-life insurance or health insurance is also...
-
Data Analyst II, Support Operations
1 week ago
Makati City, National Capital Region, Philippines Kroll Global Solutions Inc. Full time ₱900,000 - ₱1,200,000 per yearKroll Business Services (KBS) — one of the highest-performing business units within Kroll — is seeking a skilled and motivated Data Analyst II to join our fast-paced Production Operations team.This position supports day-to-day operational and client-driven data requests, report generation, and analysis across Kroll's Restructuring and Settlement...
-
Global Logistics Analyst
1 week ago
Quezon City, National Capital Region, Philippines Advanced Energy Industries, Inc. Full time $80,000 - $120,000 per yearGlobal Logistics AnalystAbout Advanced EnergyAdvanced Energy Industries, Inc. (NASDAQ: AEIS), enables design breakthroughs and drives growth for leading semiconductor and industrial customers. Our precision power and control technologies, along with our applications know-how, inspire close partnerships and innovation in thin-film and industrial...
-
Subject Matter Expert Billing Specialist
1 week ago
Makati City, National Capital Region, Philippines ClinicMind Full time ₱300,000 - ₱500,000 per yearClinicMind's core values—Excellence · Learning · Teamwork guide everything we build.With 150 in‑house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best‑in‑class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base.OverviewWe...
-
Technical Underwriter
4 days ago
Makati City, National Capital Region, Philippines Pioneer Your Insurance Full timeOn Overview of your RoleTo provide technical support to Affinity business lines in terms of underwriting group accounts, pricing group and health insurances, and facilitating reinsurance transactions incidental to these risk assessment activities.Duties and Responsibilities:Product Profitability.Contributes to the management of the Affinity's loss ratio by...