Claims Examiner

1 week ago

San Juan, National Capital Region, Philippines Private Advertiser Full time ₱300,000 - ₱600,000 per year

Duties and Responsibilities

  • Receives and examines claims applications: Death, Disability, Killed-In-Action, Wounded-In-Action, Accident Hospitalization Benefits and other benefits of deceased members
  • Determines coverage and corresponding benefit of claims and computes individual shares of beneficiaries
  • Initiates suggestion and recommendation on claims with any legal issues to be resolved
  • Transmits disability and WIA claims to medical consultant for evaluation
  • Prepares claims disbursement vouchers and communication letters to claimants indicating claims settlement, computation benefit and completion of documents
  • Encodes claims transactions in database and scans documents for reference
  • Aids in communicating with beneficiaries regarding denied claims and claims with legal issues
  • Prepares report on claims with CLI and E56 insurance coverage
  • Handles claim register and prepares monthly claims register report
  • Answers queries regarding claims from walk-in members
  • Performs other related functions as directed by superior

Key Organizational Relationships

  • Reports directly to the Supervisor, Claims

Qualifications

  • Bachelor's degree in any business course
  • With a minimum of 1-year related experience and relevant technical trainings, preferably on signature verification and forgery detection etc.
  • Proficient in MS Office applications
  • Strong analytical, composition, and prioritizing skills
  • Detail-oriented and with good organization and coordination skills
  • Ability to maintain confidentiality
  • Good written and oral communication skills

  • Construction Contracts Administrator

    2 weeks ago

    San Antonio, Metro Manila, Philippines SMC Mass Rail Transit 7, Inc Full time ₱600,000 - ₱1,200,000 per year

    Prepare and review contracts, and monitor compliance with the contracts and Philippine Laws.Report any non-compliance and/or violation along with proposed corrective action.Track the Contracts Section's capacity, report on utilization levels of the Section staff, and manage resources accordingly.Provide contractual advice during the development of conditions...

  • Company Doctor

    2 weeks ago

    San Nicolas, Ilocos, Philippines MedGrocer Full time ₱200,000 - ₱240,000 per year

    We're hiring for both full-time and part-time positions While we're actively looking for candidates, please note that full-time roles may no longer be available by the time we process your application.If you're interested in part-time opportunities, sign up on Moongig ) to receive real-time notifications about available reliever shifts.MedGrocer's...