Claims Quality Analyst Team Lead

2 days ago

Mandaluyong City, National Capital Region, Philippines EPS Full time ₱432,000 - ₱576,000 per year

The primary purpose of this role is to collaborate closely with the Claims Manager to drive and implement strategic process improvements initiatives that optimize team efficiency while prioritizing exceptional customer service. The Team Leader will play a pivotal role in fostering a culture of continuous improvement and accountability, ensuring that best practices are integrated throughout the claims process.

The position is also accountable for developing and implementing a comprehensive framework for various claims support functions, including Reporting & Metrics, Quality Audits, and Training. This framework will ensure that critical insights are generated from performance data, maintain high-quality standards through systematic audits, and provide structured training programs that equip team members with the necessary skills and knowledge to excel in their roles.

  • Minimum of [3] years of experience in claims processing, auditing, or quality assurance within the insurance or healthcare industry
  • Strong understanding of claims management processes and COG standards.
  • Excellent analytical and problem-solving skills with a high attention to detail.
  • Proficient in using claims management software and Microsoft Office Suite (Excel, Word, PowerPoint).
  • Strong communication skills, both written and verbal, with the ability to present findings clearly and effectively.
  • Ability to develop and implement appropriate claims management strategies and plans.
  • Sound knowledge of claims administration procedures and related systems.

Additional details

  • Permanent and direct hire
  • Candidates must be flexible in any shift schedule
  • Office in Mandaluyong

Job Types: Full-time, Permanent

Pay: Php40, Php47,000.00 per month

Application Question(s):

  • Please share your Viber number. This will allow us to reach you easily and ensure the line is open at all times for updates.

Work Location: In person

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