Claims Assistant

1 week ago

Ortigas Metro Manila, Philippines MEDICARE PLUS, INC. Full time ₱300,000 - ₱450,000 per year

Job Summary:

The Claims Assistant provides administrative support to the claims department by processing, organizing, and managing claim-related documents and data. They assist claims adjusters and other team members in handling insurance claims efficiently and accurately. The Claims Assistant plays a crucial role in ensuring that claims are processed in a timely manner and that all necessary documentation is properly maintained.

Responsibilities:

1) Document Management:

a) Receive, sort, and review incoming claim documents and correspondence.

b) Create and maintain electronic and physical claim files.

c) Organize and index documents for easy retrieval.

d) Ensure all documents are accurately labeled, logged, and stored.

2) Data Entry and Processing:

a) Enter claim information into the database or claims management system.

b) Verify data accuracy and completeness.

c) Update claim status and information as required.

d) Generate standard reports and claims-related documents.

3) Communication and Coordination:

a) Assist in responding to customer inquiries regarding claim status and process.

b) Coordinate with internal teams, external vendors, and clients as needed.

c) Maintain regular communication with claims adjusters and provide necessary support.

d) Assist in scheduling appointments, meetings, and inspections.

4) Claim Support:

a) Review and assess claim documents for completeness and accuracy.

b) Assist in determining initial coverage eligibility.

c) Prepare claim-related correspondence, including acknowledgment letters and denial notifications.

d) Support claims adjusters in the investigation and evaluation of claims.

5) Record Keeping and Compliance:

a) Ensure compliance with regulatory requirements and internal policies.

b) Maintain confidentiality and handle sensitive claim information appropriately.

c) Assist in maintaining accurate records of claim activities, payments, and settlements.

d) Collaborate with the legal department to gather information for legal proceedings, if necessary.

6) Process Improvement:

a) Identify opportunities to streamline claim processes and enhance efficiency.

b) Make suggestions for improvements in workflows and procedures.

c) Participate in departmental meetings and provide input on process enhancements.

d) Contribute to the implementation of new technology or software solutions.

Requirements:

· Graduate of any 4 year course, preferably with a Medical Background

· Previous experience in an administrative or data entry role, preferably in the insurance industry.

· Familiarity with claims processing and insurance terminology is advantageous.

· Proficiency in using computer systems, databases, and MS Office applications.

· Excellent organizational skills and attention to detail.

· Strong written and verbal communication skills.

· Ability to handle multiple tasks simultaneously and prioritize workload.

· Basic understanding of confidentiality and data protection principles.

· Team player with a positive attitude and willingness to learn.

  • Claims Assistant

    3 days ago

    Ortigas, Philippines Stronghold Insurance Full time ₱150,000 - ₱250,000 per year

    Assist and sends required claim documentsUploading documents in the systemCall and schedule unit inspection for evaluationPrepares/Issues letter of authority once approvedCollating original billing from the accredited shops and prepares replenishmentJob Types: Full-time, Fresh graduateEducation:Bachelor's (Required)Work Location: In person

  • Claims Processor

    1 week ago

    Ortigas, Philippines Medicare Plus, Inc. Full time ₱400,000 - ₱600,000 per year

    Job ResponsibilitiesAssist in reviewing, validating, and processing claims in accordance with company policies and procedures.Collect, verify, and organize claim documents, ensuring accuracy and completeness.Respond to inquiries from clients, policyholders, or employees regarding claim status and requirements.Maintain and update claim records in internal...

  • Claims Assistant

    2 weeks ago

    Manila, National Capital Region, Philippines HR Network Inc. Full time ₱300,000 - ₱600,000 per year

    Help ensure smooth and efficient processing of insurance claims. This role supports the claims team with documentation, investigation, and customer communication.Input and organize claim information accurately in the systemCollect and file needed documents (e.g. receipts, medical reports)Help review claims for errors or missing infoAssist with simple...

  • Claim Support

    2 weeks ago

    Ortigas, Philippines Ardent Paralegal and Business Solutions Inc. Full time ₱300,000 - ₱450,000 per year

    Job SummaryThe Claims Support Specialist will provide assistance in processing and managing insurance claims. This role does not require advanced qualifications but demands attention to detail, accuracy, and the ability to handle claim-related tasks efficiently. The position is comparable in level to a Medical Records Clerk (MRC) and is vital in ensuring...

  • Claims Processor

    1 week ago

    , Metro Manila, Philippines Buscojobs Full time

    Job Description Provides administrative support in the claims process by assisting with preparation, documentation, and communication involved in handling claims. Ensures smooth and efficient claims processing, supporting claimants and internal teams in various claims management tasks. Responsibilities: Input claim data into the system, ensuring accuracy,...

  • Medical Claims

    7 days ago

    Ortigas, Philippines Comrise Full time ₱25,000 - ₱330,000 per year

    Job PurposeThe representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in...

  • Insurance Claims Assistant

    2 weeks ago

    Manila, National Capital Region, Philippines CASM Limitlessli LLC Full time ₱250,000 - ₱500,000 per year

    At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.The Opportunity:Are you detail-orientated and skilled in data entry?  Do you thrive in a fast-paced...

  • Claims Specialist

    2 weeks ago

    Bonifacio Global, Metro Manila, Philippines HGS Offshore Staffing Solutions Full time ₱900,000 - ₱1,200,000 per year

    POSITION OVERVIEWClaims Processors are involved in managing a claim from beginning through to settlement. They ensure that claims are handled efficiently and that payment for valid claims is made to their policyholders. Claims Processors decide on the extent and validity of a claim by checking for any potential fraudulent activity. They liaise with external...

  • Medical Claims Analyst

    1 week ago

    , Metro Manila, Philippines Buscojobs Full time

    Overview We are looking for Claims Analyst to be part of our PIONEER TEAM You'll be responsible for managing the entire claims process from initiation to resolution, ensuring accuracy, compliance, and efficiency. This role involves analyzing and processing healthcare claims, identifying discrepancies, and working closely with internal teams and clients to...

  • Head Of Benefit Claims

    1 week ago

    , Metro Manila, Philippines Buscojobs Full time

    Job Description Job Title: Head of Claims Department Responsibilities Lead and manage the end-to-end claims process to ensure timely, fair, and efficient resolution in line with target turnaround times. Manage the end-to-end process of medical, life and non-life claims, ensuring accuracy, efficiency, and compliance with regulations and company policies. To...