Claims Processor

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

MAJOR RESPONSIBILITIESAssigned special accounts to handle.Receives Claims Documents from Receiving and Encoding Sections for review.Prepares reports and statistics for management's information.Assists in updating status of assigned claims to broker(s), agent(s) and / or Insured.Reports to department officers progress of assigned claims for...

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...

Job Title: Claims Processor Trainer | NON-VOICEIn-Office Training Now, Potential for Remote Work LaterPosition Summary:We are seeking a knowledgeable and experienced Trainer for the Claims Adjudication Process to join our growing team. The ideal candidate is responsible for designing, facilitating, and evaluating training programs focused on claims...

Overview Medical Biller & Claims Processor RML-PH - Quezon City (Remote) Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply once and ensure all information is complete and accurate. About Us RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization...

Job descriptionThe position is responsible for processing insurance claims accurately and quickly through industry approved claims processing. The job may also entail various claims investigation elements and may involve field work from time to time.Specific requirements are as follows.Data entry - receives claims documents from clients and books the same to...

A) Position Objective:The position is responsible for ensuring efficiency, accuracy of claims processing and settlements as part of servicing to our agents and clients insurance claims of all lines in accordance with company policies and guidelines within the accepted loss evaluation in a timely manner.B) Roles and Responsibilities:Receive and register...

YOUR ROLEReports generation.Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved.A BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...

YOUR ROLEReports generation.Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved.A BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...

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...

Job Description Responsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments. Responsibilities Information Review Processes client information by adheres to the standard operating procedures (SOP) and turnaround time set forth Reviews and identifies if there are adjustments and variances...

Business Process Associate II – Crawford & Company Join to apply for the Business Process Associate II role at Crawford & Company . Job Description Responsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments. Responsibilities Information Review Processes client information by adheres...