Claims Assistant
4 days ago
Position Summary
The Claims Assistant provides essential support to the claims team with primary emphasis on Accounts Payable functions within the claims processing workflow. This role manages the complete lifecycle of claims handling by recording, tracking, and processing member, client, and vendor invoices regarding reimbursement for services the client provides.
The position requires strong administrative capabilities, attention to detail, and effective communication with internal departments and external stakeholders.
Duties & Responsibilities
Duties and responsibilities include but are not limited to:
- Responsible for supporting the day-to-day tasks and activities of a claims team. This role will primarily focus on Accounts Payable aspects of claims processing. These tasks include, but are not limited to, data entry of new invoices, creating payment vouchers, utilizing accounting and other software to validate and cross check data entries.
- This role will incorporate all aspects of claims handling by recording, tracking, and processing member, client, and vendor invoices regarding reimbursement for services the client provides.
- Handle all aspects of processing claims, which includes setting up claim files, data entry, scanning documents, validating approvals regarding coverage and/or benefit limits. Setting up and maintaining a diary with follow-up and deadline dates.
- Respond to and contact providers, insureds, and other related parties to obtain and relay basic information for invoice processing.
- Coordinate and correspond with other departments within the company to resolve claim and benefit related issues.
- Provide ad hoc information as requested to support claim processing and/or special projects.
- Participate and assist in claims teams administrative tasks including data entry, monthly account reconciliation, client report requirements, quality checks and documentation requirements.
- Research claim issues and respond to claim inquiries from claimants and clients.
- Participate in team learning opportunities and cross-training.
Minimum Qualification
1. Functional Competencies
- Display efficiency and attention to deadlines and details.
- Demonstrate courtesy towards customers, vendors, and other team members.
- Avoid taking any action that would conflict with procedures established by Client.
- Strong written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy.
- Excellent organizational and analytical skills; demonstrates the ability to manage multiple tasks simultaneously.
- Willing to be based in Metro Manila or other locations as may be required by business operations.
- Willing to work in a hybrid set-up.
2. Education & Work Background
- College Graduate
- Minimum of two years of relevant and progressive administrative, clerical experience.
3. Required Skills
- Intermediate proficiency skill and experience in Microsoft office application, adept in Microsoft Excel and PowerPoint.
- Solid understanding of using Email programs like Outlook.
- Basic understanding of software applications and web browsers. Experience using PeopleSoft Financial systems is a plus
Job Type: Fixed term
Contract length: 6 months
Pay: Php25, Php30,000.00 per month
Work Location: In person
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