Claims Analyst- Ortigas,Mandaluyong

The primary function of a KYC Quality Analyst Lead is to ensure that the organization's KYC processes and procedures are compliant with regulatory requirements and industry standards. The focus is on reviewing, assessing, and improving the quality and accuracy of customer information and documents gathered during the onboarding and due diligence...

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...

We are looking for a Programmer with extensive experience to join our teamWhat will you do?Create and maintain programs used by SFS Group of Companies.Arrange project requirements in a programming sequence by analyzing requirements; preparing a workflow chart and diagram using knowledge of computer capabilities, subject matter, programming language, and...

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...

We are seeking a detail-oriented and analytical Data Analyst – Claims to join our team. The ideal candidate will be responsible for analyzing claims data, identifying trends and anomalies, and providing actionable insights to improve operational efficiency, reduce costs, and enhance customer outcomes. This role bridges data analytics with claims...

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...

Claims Operations AnalystNight ShiftOnsite in Commonwealth Ave., QCAbout the role:This position will be responsible for managing the Claims email box, meeting service level agreements, setting up the claim in ImageRight and the Claims system. Responsibilities include working directly with brokers and/or insureds for details required to complete the setup of...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on...