Claims Specialist

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 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 bancassurance operations in the country, and is among the pioneers in the investment-linked insurance sector.

AXA now offers a complete range of products for all its customers' insurance and financial protection needs, including savings and investments, health plans, income protection, and health coverage; and through its general insurance subsidiary Charter Ping An Insurance Corporation\: fire, motor car, marine cargo, personal accident, bonds, casualty, and engineering insurance products.

AXA Philippines closed 2017 with P26.4 billion in total premium income and P5.7 billion in gross written premiums from Charter Ping An. Today, AXA has more than 4,000 financial advisers in 36 branches, and 700 financial executives in over 900 Metrobank and PSBank branches nationwide. Charter Ping An, on the other hand, has 22 branches nationwide and 2,007 agents.

AXA Philippines is a joint venture between the AXA Group, headquartered in France, and the Metrobank Group, one of the largest financial conglomerates in the Philippines.

The Metrobank Group is a conglomerate of industry-leading businesses that includes First Metro Investment Corporation, Metrobank Credit Cards, Federal Land, Toyota, and Manila Doctors Hospital. It was hailed Best Bank in the Philippines in 2010, 2011, and 2012 by Euromoney and recognized as the strongest bank in the Philippines by The Asian Banker in 2013. It is owned by the Ty Family whose major business interests include financial services, real estate development, power, and manufacturing.

 Acknowledge receipt of Claim requests.

 Upload claim documents to 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

 Adheres to service standards of processing administrative requests

 Ensures complete claim file documentation and submission

 Sends out letters requesting information for claims files

 Makes follow up telephone calls such as requesting medical information from physicians,

scheduling of Health Screening with provider, provider's payments and outstanding bills.

 Ensures complete and accurate claim file documentation

 Maintains an understanding of the different client relationships and products

 Assist with mail sorting and distribution

 Attends to other duties and responsibilities needed.

 College graduate of any 4-year medical course

 Preferably with health claims processing background

 Ability to initiate and prioritize regular work duties and small projects, ability to multitask,

be detail oriented, organized and possess good time management skills

 Ability to work independently and as part of a team

 Good computer skills with basic skills in Excel, word and outlook

 Ability to use office equipment including photocopier and printer

 Good knowledge on medical claims processing

 Accurate data entry skills with a keyboarding speed of 40-45 wpm