Medical Claims Manager

Position: Medical Claims AssociateLocation: Cocolife Building, Ayala Avenue, Makati CityWork Setup: Onsite Monday - Friday 8am- 5pmJob Summary:We are looking for a detail-oriented and reliable individual to join our team as a CLAIMS ASSOCIATE. The successful candidate will be responsible for the evaluation and prompt processing of medical claims....

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)Graduate of Bachelor of Science in Nursing or any related medical course (FRESH GRADUATES ARE WELCOME TO...

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 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...

BENEFITS/PERKSCompetitive Salary13th and 14th month guaranteedPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceHybrid Work Set-up after 6 months of employmentJOB DETAILS / ROLE PURPOSEThe role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service...

1. Properly adjudicate reimbursement claims on outpatient, inpatient benefits of policyholders on a health policy.2. Accurately determine if a medical condition is a covered benefit based on the policy provisions, terms, and conditions.3. Adjudicate reimbursement claims in accordance with the different processes within defined authority limit and escalate to...

We are looking for a Claims Manager who will take full ownership of the claims function in the Philippines. This role ensures that all claims are handled efficiently, fairly, and in line with regulatory standards. The Claims Manager will lead a team of specialists, drive process improvements, and deliver a high level of service to clients and partners.Key...

About the role We are seeking an experienced Claims Manager (Non-Life) to join our dynamic team at Manila Bankers Assurance in Makati City, Metro Manila. As the Claims Manager (Non-Life), you will play a crucial role in overseeing the efficient and accurate processing of claims for our non-life insurance business, contributing to the overall success and...

This Claims Lead will be responsible for overseeing and managing the daily operations of the claims team. This role involves ensuring efficient processing of claims, maintaining high standards of customer service, and guiding team members to achieve performance targets. The Claim Lead acts as a liaison between the claims team, other departments, and external...

The Claims Manager is responsible for leading the entire claims process—making sure all claims are assessed, processed, and resolved accurately, on time, and in line with company policies and Philippine regulations. This role also manages a team, builds strong client relationships, and works on improving efficiency and customer satisfaction.Key...