Medical Claims Hotline

Date Posted: April 11, 2019Job Location: Makati CityJob Description:promptly attends to calls made through our Hotline providers and approve or disapproved chargesmonitors approved confinements until member is dischargedfacilitates discharge from hospitals of our clients/members and correctly filled-out LOA to hospitalsQualifications:Graduate of B.S Nursing...

Date Posted: October 18, 2019Job Location: Makati CityJob Description:Accurately approves hospitalizations, OPD consultations, laboratory, diagnostic and surgical procedures as recommended by our Provider Specialistspromptly attends to calls made through our Hotline providers and approve or disapproved chargesmonitors approved confinements until member is...

Date Posted: March 11, 2020Job Location: Makati CityJob Description:Promptly attends to calls made thru our Hotline by our Medical Providers and Client and/or members.Give accurate information to inquiries madeAccurately approves hospitalization, OPD, Consultations, laboratory, diagnostics and surgical procedures as recommended by our Provider...

Date Posted: December 13, 2018Job Location: Makati CityJob Description:Accurately approves hospitalizations, OPD consultations, laboratory, diagnostic and surgical procedures as recommended by our Provider Specialistspromptly attends to calls made through our Hotline providers and approve or disapproved chargesmonitors approved confinements until member is...

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

Date Posted: June 6, 2022Job Location: Makati CityJob Description:Checks completeness of required documentsProcess all eligible claims within 5-15 working days TAT depending on pre-agreed credit term with the Provider with 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper approvalPrepares Check...

Date Posted: August 23, 2019Job Location: Makati CityJob Description:check completeness of required documentsensure that all medical for check payment request has secured proper approval.conducts routine reconciliation of outstanding accounts with providers.ensure that all medical claims documents are properly filed and labeled.perform other duties maybe...

Please visit for more information. 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...

YOUR ROLEVerification 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 communication that should...

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...