Operations Claims Administrative Support

Job Summary:The Operations Claims Administrative Support role provides essential administrative and operational assistance within the claims department. This position ensures the accurate processing of claims, supports workflow management, and facilitates communication between internal teams and external stakeholders.Key Responsibilities:Review insurance...

Job SummaryThe Non-Life Claims Accounting Team Lead is responsible for the direct supervision and execution of daily accounting processes for all non-life insurance claims. This includes overseeing the verification of claims payments, ensuring the accuracy of loss reserves and reports and leading a team of claims accountants to support the section's...

Job Title: Senior Manager of Claims OperationsJob Summary:We are seeking an experienced Senior Manager of Claims Operations to lead our claims management team. The ideal candidate will have a proven track record of managing complex claims processes, ensuring timely and effective resolution of claims.Key Responsibilities:Manage the end-to-end claims process,...

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...

Job Description:The primary role of this position is to provide support to Claims Adjusters located in North America. 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. This role involves maintaining detailed...

Job Title: Claims SpecialistWe are seeking a skilled and organized individual to manage administrative tasks related to PhilHealth claims processing.The successful candidate will be responsible for scheduling and receiving claims, reviewing each document for completeness and accuracy, analyzing variances in accordance with PhilHealth policies, determining...

Roles and ResponsibilitiesVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary...

Job Summary:The Claims Adjuster is responsible for investigating and processing claims for non-life insurance policies, ensuring fair and timely settlement in line with company policies and industry regulations.Job Description:Investigate and assess claims for non-life insurance lines (e.g., property, casualty, motor, liability).Conduct site inspections and...

1. CLAIMS PROCESSINGEnsures accurate review of claims document like LOA, hospital bills/SOA, concurrent review form, physician's report, original OR for use in processing claims.2. CLAIMS REVIEW/ EVALUATION/ ADJUDICATIONReviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards3....

Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for processing claims, providing recommendations and final decisions based on set authority limits approved by management.About the RoleThis position involves coordinating with team members and other stakeholders to ensure...