Returns and Claims Specialist

The Claims Specialist manages claim appeals and evaluates next steps—whether submitting additional appeals or closing accounts. They prioritize work based on claim complexity, maintain accuracy and compliance, and efficiently process high volumes of low‑balance claims to support timely payments and maximize client revenue recovery. ...

The Claims Specialist manages claim appeals and evaluates next steps—whether submitting additional appeals or closing accounts. They prioritize work based on claim complexity, maintain accuracy and compliance, and efficiently process high volumes of low‑balance claims to support timely payments and maximize client revenue...

JOB DESCRIPTION (CLAIMS HANDLER)* GRADUATE OF ANY FOUR YEARS COURSE/FRESH GRADUATEWITH AT LEAST BACKGROUND IN INSURANCE CLAIMS* Preferably graduate of Custom Administration, Law, Political Science and Education. *Reports directly to the Head of Operation* Analyse and evaluate the claims based on the relevant documents submitted tocertain whether the claims...

Receive and review claims documents and coordinate with claimantsInterview claimant(s) and/or witnesses to gather pertinent informationConduct an actual investigation or inspection to determine the veracity of the loss and the extent of the insurance company's liability concerning personal, casualty, or property loss or damagesGather pertinent documents and...

As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.Follow-up status of outstanding insurance claims, make sure all follow-ups...

A global leader in insurance and investments, AXA takes care of 103 million lives in 64 countries worldwide. We actively invest in pioneering and personalized solutions to meet your ever-changing needs and exceed your expectations. In the Philippines, we are in partnership with Metrobank, one of the country's strongest banks.Established in 1999, AXA...

Job DescriptionReviews all claims documents and relates it to the insurance policy for complianceTasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved for the claims filed.Tasked to scan and evaluate bodily injury claims filed...

We're Hiring: Provider Dispute Claims Processor We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, adjudicating medical claims and resolving provider disputes in compliance with regulatory guidelines and internal policies. This role requires strong analytical skills, a high level of accuracy,...

* Ensure that the cargo being loaded on board is safe for travel from the loading to the unloading port.* Ensure that the amount of cargo damage being claimed is accurate and true.*Performs survey inspection without prejudice to any party involved/concerned.* Abhors bribe of any form.*Comply with established company policies and culture.* Will create a...

Makati Life Medical Center is a state-of-the-art healthcare facility in Metro Manila, where patients are the top priority. The hospital is equipped with the finest medical technology, facilities, and doctors to assist everyone's healthcare needs effectively.Job Description:The PhilHealth Specialist is responsible for ensuring accurate, timely, and compliant...