Claims Analyst

Role Title:Claims Analyst - ReinsuranceECLARO:A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business challenges through...

Qualifications:Tertiary Qualified or minimum of 2 years of experience in claims handling, administrative support, with voice process or a related role, preferably within the insurance industry. Familiarity with call center software and customer relationship management (CRM) systems Claims processing, insurance industry or customer service background for at...

Job Title: Claims SpecialistWe are seeking a skilled and organized individual to manage administrative tasks related to PhilHealth claims processing.The successful candidate will be responsible for scheduling and receiving claims, reviewing each document for completeness and accuracy, analyzing variances in accordance with PhilHealth policies, determining...

We'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,...

Job Title: Renal Clinic Claims ProcessorJob SummaryWe are seeking a highly detail-oriented and proactive individual to join our team as a Renal Clinic Claims Processor. The successful candidate will be responsible for managing administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining...

Monee is a part of Sea Group, a leading global consumer internet company. Monee's mission is to better the lives of individuals and businesses in our region with financial services through technology. Monee's offerings include mobile wallet services, payment processing, credit offerings, and related digital financial services and products. These are...

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...

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...

Role Title:Claims Operations Analyst - Commercial InsuranceECLARO:A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business...

Reviews and processes claims by verifying documentation, ensuring accuracy and determining coverage eligibility. They communicate with policyholders, detect potential fraud, maintained detailed records, ensure timely and compliant claims resolution. The role also supports audits and stays informed on industry updates. Qualifications: Bachelor's degree in...