Claims Officer

Purpose of the role:Intogreat Solutions is seeking a proactive and detail-oriented Insurance Claims Officer to support our expanding General Insurance division. If you're a problem-solver with strong analytical skills and a passion for helping clients through challenging situations, this role could be your next step.As an Insurance Claims Officer, you'll be...

1. CLAIMS PROCESSINGEnsures accurate review of claims document like LOA, hospital bills/SOA, concurrent review form, physician's report, original OR for use in processing claims.2. CLAIMS REVIEW/ EVALUATION/ ADJUDICATIONReviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards3....

Roles and ResponsibilitiesVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary...

About the role Kaiser International Healthgroup Inc. is seeking a skilled and detail-oriented Claims Assistant to join our team in Makati City, Metro Manila. This full-time position is an integral part of our Claims department, where you will play a crucial role in ensuring the efficient and accurate processing of insurance claims.What you'll be...

Job descriptionThe position is responsible for processing insurance claims accurately and quickly through industry approved claims processing. The job may also entail various claims investigation elements and may involve field work from time to time.Specific requirements are as follows.Data entry - receives claims documents from clients and books the same to...

We are looking for a Claims Manager who will take full ownership of the claims function in the Philippines. This role ensures that all claims are handled efficiently, fairly, and in line with regulatory standards. The Claims Manager will lead a team of specialists, drive process improvements, and deliver a high level of service to clients and partners.Key...

Bachelor's degreeAt least 5 years of experience in claims management, preferably in the insurance or healthcare industry.Strong knowledge of Philippine insurance laws, regulations, and claims processes.Proficiency in Microsoft Office and claims management software.Location: Makati CityWork Schedule: Monday to Friday from 8:30AM to 5:30PMWork Setup: ONSITEJob...

Claims Specialist RoleThe Claims Associate plays a vital role in ensuring seamless claim processing and streamlining the claims management process.This position requires strong organizational skills, attention to detail, effective communication, and proficiency in handling multiple tasks simultaneously.The ideal candidate will possess excellent time...

The Claims Manager is responsible for leading the entire claims process—making sure all claims are assessed, processed, and resolved accurately, on time, and in line with company policies and Philippine regulations. This role also manages a team, builds strong client relationships, and works on improving efficiency and customer satisfaction.Key...

As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.Follow-up status of outstanding insurance claims, make sure all follow-ups...