Claims Assistant

JOB DESCRIPTION:Evaluates and process claims within prescribed turn around time and in accordance to standardprovisions of the Master Policy Contract.SCOPE AND RESPONSIBILITIESProcessing of ClaimsEncodes claims expense and releases benefits according the provisions of the policy.Preparation of Disbursement Request (DR)Ensures all claims are signed and...

Process and monitor insurance claims from submission to resolution.Coordinate and track policy renewals to prevent coverage lapses.Maintain accurate membership records, including handling inclusions, deletions, and amendments.Assist with LOA requests, coverage inquiries, and emergency/admission assistance.Provide timely updates and communication to clients...

Responsible for evaluation and prompt processing of claims.Prefers medical allied or with relevant experience (claims) in the healthcare industry.Open to associate graduates with relevant experience.Open to Fresh grads of Medical Allied field.Amenable to report onsite Location: Cocolife Bldg., Ayala MakatiBENEFITSGuaranteed 15th month bonus plus performance...

Job ResponsibilitiesAcknowledge receipt of claim requests.Upload claim documents to the case in the health claims system.Validate claim details in the health claims system.Update claim status and notes in the health claims system.Update TPA file for endorsement to Claims Control Team.Adhere to service standards of processing administrative requests.Ensure...

Claims Staff is responsible for the efficient processing, evaluation, and settlement of insurance claims in accordance with company policies, service standards, and regulatory requirements. Ensures fair and timely claims handling to maintain client satisfaction and protect company interests.Key ResponsibilitiesReceive, record, and acknowledge policyholders'...

Qualifications:At least 5 years of experience in non-life insurance, specifically in claims processing for Motor, Marine & Aviation, Surety & Casualty, or Property & Engineering linesPreferably with Basic Non-Life Insurance certificationStrong analytical and problem-solving skillsProficient in Microsoft Office applicationsWilling to work on-site in Ortigas...

Job Title: Head of Claims DepartmentObjectives:Lead and manage the end-to-end claims process to ensure timely, fair, and efficient resolution in line with target turnaround times.Serve as the primary liaison between clients, adjusters, and insurance companies / representatives to ensure the necessary support is provided for effective claims...

Polaris Reinsurance Brokers, Inc. is a licensed professional reinsurance brokerage firm in the Philippines dedicated to providing innovative and reliable risk management solutions.With deep industry knowledge and strong relationships with both local and international reinsurers, Polaris Reinsurance delivers customized reinsurance programs designed to...

Receive, review, and process non-life insurance claims (e.g., fire, motor, property) by validating documents and coordinating with clients or agents for compliance.Maintain accurate and updated records of claims filed, processed, and settled, ensuring proper documentation and timely reporting.Coordinate with underwriters, adjusters, and other departments to...

This Sr. Claims Analyst position is responsible for the overall review, assessment, and decision of claims.Position Responsibilities:Determine eligible benefits based on documents submitted and policy provisions.Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround...