Claims Assistant

The primary role of this position is to support Claims Adjusters located in North America by completing various tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance policies, documenting claims, and coordinating with adjusters, keeping detailed record of...

Role Purpose:The primary responsibility of this role is to audit claims to ensure compliance with the Company's Operational Guidelines (COG) standards.Key Responsibilities:Conduct thorough audits of claims to assess compliance with COG standards and internal policies.Review and analyze claims documentation, ensuring accuracy and completeness.Identify...

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...

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...

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...

Ensuring the completeness of resources for claiming (approved Vendor Mechanics, contract, related correspondence-claimable/ deductions items per branch/per promo).Keeping the per BU per Vendor for claiming be prepared and send it to immediate superior and branch approver on time.Recording the billed/vendor claims in the claims report.Posting the...

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'...

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...