Medical Claims Processor

Job Objective / PurposeThe Claim Processor is responsible for timely processing of medical claims based on the member's health benefit program. They analyze medical information, perform data entry, handle reimbursement claims, and decide whether a claim should be covered or denied. Communicate issues or exceptions to other concerned departments as...

Date Posted: December 23, 2021Job Location: Makati CityJob Description:Job Description:Checks completeness of required documentsProcess all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper...

A) Position Objective:The position is responsible for ensuring efficiency, accuracy of claims processing and settlements as part of servicing to our agents and clients insurance claims of all lines in accordance with company policies and guidelines within the accepted loss evaluation in a timely manner.B) Roles and Responsibilities:Receive and register...

Your Role:"We are in the business of paying claims"-  your role is to help us uphold this promise.Job Summary:The Claims Adjudicator for Medical Facilities is responsible for evaluating and processing claims from hospitals, laboratories, and clinics. This role ensures accredited facility partners receive their service payments based on approved limits....

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...

YOUR ROLEReports generation.Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved.A BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...

We are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...

Job Description:Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service. Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and action plans of the department according to goals ( KPI ) for the...

Established in 1999, AXA Philippines is one of the largest and fastest growing life insurance companies in the country. It offers financial security to more than one million individuals through its group and individual life insurance as well as general insurance products through its subsidiary Charter Ping An.AXA Philippines is one of the first to introduce...

MAKATI CITY, PH, 9999CLAIMS AND ASSISTANCE250005YEJob DescriptionJob Description:Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service.Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and...