Non Motor Claims Analyst
2 weeks ago
A. JOB SUMMARY
The Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims, coordinating with the assureds and/or intermediaries, and ensuring timely and accurate claim resolution in compliance with the company standards.
B. KEY RESULTS AREAS/DUTIES AND RESPOSIBILITIES
I. Claims Processing
Validate and check correctness of documents received from claimants or intermediaries.
Encode reported PA claims in Genweb and set up loss reserves.
Evaluate claims and make recommendations on compensability.
Assign claims to independent adjusters when necessary.
Compute probable liability and prepare in-house reports.
II. Compliance, Documentation, and Investigation
Maintain accurate records of all PA claims and organize / upload relevant documents in the system.
Ensure adherence to policy coverages and regulatory requirements.
Develop investigation plans and gather necessary documents and information.
Prepare reports and updates for management as needed.
Keep updated with insurance product knowledge.
III. Customer Service and Coordination
Communicate effectively with adjusters, claimants / insured parties, intermediaries and others to determine liability and coverage.
Attend to inquiries related to assigned accounts and provide accurate information.
Provide assistance and clarification on claim-related inquiries.
Perform other tasks related to Non-Motor Lines or as required by the immediate superior from time to time.
-
Non-Motor Claims Analyst
2 weeks ago
Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full timeA. JOB SUMMARYThe Non-Motor Claims Analyst reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims, coordinating with the assureds and/or intermediaries, and ensuring...
-
Non-Motor Claims Analyst
2 weeks ago
Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full timeThe Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims, coordinating with the assureds and/or intermediaries, and ensuring timely and accurate...
-
40k SOB for Medical Claims Analyst
1 week ago
Pasig, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJoin our dynamic team and make a meaningful impact in the healthcare industry. As a Medical Claims Analyst, you'll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others...
-
Claims Analyst
2 weeks ago
Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full timeProcess OFW Claims from start to end which includes the following :Checks the compensability and ensures that the documents are complete and validConducts investigation into the details of the claims. In some cases, conducts interview with the OFW/Agencies/Government bodies.Ensure that claims are processed and settled promptlyMaintains accurate records of...
-
Claims Analyst
2 weeks ago
Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full timeProcess OFW Claims from start to end which includes the following :Checks the compensability and ensures that the documents are complete and validConducts investigation into the details of the claims. In some cases, conducts interview with the OFW/Agencies/Government bodies.Ensure that claims are processed and settled promptlyMaintains accurate records of...
-
Medical Claims Analyst – Accounts Receivable
2 weeks ago
Pasig, National Capital Region, Philippines Comrise Full timeWe are looking for a Medical Claims Analyst – AR to join our team. This role involves handling U.S. healthcare provider billing, managing accounts receivable collections, and completing various claims-related tasks. The ideal candidate has strong analytical skills, solid knowledge of medical billing processes, and excellent communication abilities. You...
-
Medical Claims Analyst
2 weeks ago
Pasig, National Capital Region, Philippines John Clements Consultants, Inc. Full timeJob PurposeFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in departmental policies.Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts.Adheres to the policies...
-
Motorized Field Inspector
5 days ago
Pasig, National Capital Region, Philippines Infinity Strategic Management Solutions, Inc. ("Infinity") Full timeInfinity Strategic Management Solutions Inc. in partnership with Zagu Foods Corp. is in need of:Motorized Field Inspector(company motorcycle)Qualifications:Graduate of any 4 years course or at least college levelWith experience in FieldworksFlexible, hardworking and trustworthyMust have good attendanceWith basic knowledge in MS ApplicationsFamiliar with the...
-
Medical Claims Analyst
3 days ago
Pasig, National Capital Region, Philippines Private Advertiser Full timeLocation: Pasig CitySet up: On-siteSalary: 25, , k SOB Qualifications:1 year US Healthcare Provider experienceAR collections experienceFamiliar with Coinsurance, Copay, and DeductiblesKnowledge about EOB - Explanation of BenefitsFamiliar with Medical Claim Forms - CMS-1500 & UB-04
-
40k SOB until Jan 12 for Medical Claims Analyst
2 weeks ago
Pasig, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeWE ARE HIRING MEDICAL CLAIMS ANALYST WITH 40K SOB UNTIL JANUARY 12Join our dynamic team and make a meaningful impact in the healthcare industry. As a Medical Claims Analyst, you'll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits upon hire, ongoing...